认知行为干预对腹股沟疝手术患儿术后疼痛控制、心理状态的影响  

Impacts of cognitive-behavioral intervention on postoperative pain control and psychological status in children with inguinal hernia surgery

作　　者：刘圆方 段永福[1] 周晓波[1] 王冠涛 姚丹丹 赵东征[1] 赵成鹏[1] LIU Yuanfang;DUAN Yongfu;ZHOU Xiaobo;WANG Guantao;YAO Dandan;ZHAO Dongzheng;ZHAO Chengpeng(Children's Surgery Department of Nanyang Central Hospital,Nanyang 473000,China)

机构地区：[1]河南省南阳市中心医院儿童外科,473000

出　　处：《中国健康心理学杂志》2024年第10期1541-1544,共4页China Journal of Health Psychology

摘　　要：目的:探讨认知行为干预对腹股沟疝手术患儿手术疼痛控制、心理状态的影响。方法:选取120例腹股沟疝手术患儿,随机分为对照组(n=60,常规护理)和观察组(n=60,常规护理+认知行为干预),比较两组患儿术后疼控制情况及心理状态变化情况。结果:干预后,观察组患儿改良面部表情评分法中活动度(A)、肢体(L)、面部表情(F)、哭泣(Cry)、安慰(C)评分及总评分均低于对照组(t=11.258,15.256,17.877,17.173,19.460,22.533;P<0.001);观察组患儿依从率高于对照组(χ^(2)=7.212,P<0.05)。干预后,观察组患儿儿童焦虑自评量表(SCARED)及抑郁自评量表(DSRSC)评分均低于对照组(t=15.226,12.332;P<0.001)。结论:对于腹股沟疝手术患儿,采用认知行为疗法进行干预可有效改善手术疼痛控制,提高依从性,缓解不良心理状态。Objective:To explore the impacts of cognitive behavioral intervention on postoperative pain control and psychological status in children with inguinal hernia surgery.Methods:A total of 120 postoperative children with inguinal hernia were gathered and randomly separated into a reference group(n=60,routine care)and an observation group(n=60,routine care+cognitive behavioral intervention).The postoperative pain control and psychological changes of children in the two groups were compared.Results:After intervention,the scores of activity(A),limb(L),facial expression(F),crying(Cry),comfort(C),and total score in the improved facial expression scoring method in the observation group were lower than those in the reference group(t=11.258,15.256,17.877,17.173,19.460,22.533;P<0.001);the compliance rate of children in the observation group was higher than that in the reference group(χ^(2)=7.212,P<0.05).After intervention,the scores of SCARED and DSRSC in observation group were lower than those in reference group(t=15.226,12.332;P<0.001).Conclusion:Cognitive behavioral therapy intervention can effectively improve postoperative pain control,enhance compliance,and alleviate adverse psychological states in children with inguinal hernia after surgery.

关 键 词：腹股沟疝 认知行为干预 术后疼痛控制 心理状态 

分 类 号：R395.5[哲学宗教—心理学] R749.92[医药卫生—医学心理学]