放松训练联合认知行为疗法对囊肿择期行超声介入治疗患者的影响分析  

Analysis of the influence of relaxation training combined with cognitive behavioral therapy on patients with cysts undergoing elective ultrasound interventional therapy

作　　者：沈彬[1] 朱蕾蓉 曹海亚 冯静[1] SHEN Bin;ZHU Leirong;CAO Haiya;FENG Jing(Department of Ultrasound Medicine,The Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第三附属医院超声医学科,河南郑州450052

出　　处：《心理月刊》2024年第24期127-130,共4页

摘　　要：目的 探讨放松训练联合认知行为疗法在囊肿择期行超声介入治疗患者中的应用价值。方法 研究对象:本院收治的60例囊肿患者;选取时间:2021.10~2024.10;分组:随机数字表法(参照组30例,观察组30例);护理干预方法:常规护理(参照组),放松训练联合认知行为疗法(观察组),对比两组患者的心理状态、应对方式、心理弹性、配合度、术后不良反应发生率以及生活质量。结果 干预前,汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)组间并无显著差异(P>0.05);干预后,观察组HAMA评分和HAMD评分显著低于参照组(P<0.05)。干预前,面对、回避、屈服评分组间并无显著差异(P>0.05);干预后,观察组面对评分高于参照组,回避、屈服评分显著低于参照组(P<0.05)。干预前,坚韧、乐观、自强等心理弹性评分组间并无显著差异(P>0.05);干预后,观察组坚韧、乐观、自强等评分均显著高于参照组(P<0.05)。观察组患者配合度达到90.00%,参照组患者配合度为66.67%,组间差异显著(P<0.05);另外,观察组术后不良反应发生率为6.67%,参照组术后不良反应发生率为30.00%,组间差异显著(P<0.05);干预前,两组患者的生活质量各项评分之间并无显著差异(P>0.05);干预后,观察组各项生活质量评分显著高于参照组(P<0.05)。结论 临床上针对囊肿择期行超声介入治疗患者给予放松训练联合心理护理,能够帮助患者有效缓解不良情绪,提高配合度,降低术后不良反应的发生概率,促使患者生活质量得以改善。Objective To explore the application value of relaxation training and cognitive behavioral therapy in patients with cysts undergoing elective ultrasound interventional therapy.Methods Subjects:60 patients with cysts admitted in our hospital;selection time:2021.10~2024.10;grouping:random number table method(reference group 30 cases,observation group 30 cases);nursing intervention methods:routine nursing(reference group),relaxation training and cognitive behavioral therapy(observation group).The psychological state,coping style,resilience,cooperation,incidence of postoperative adverse reactions and quality of life of the two groups were compared.Results Before intervention,there was no significant difference between Hamilton anxiety scale(HAMA)scores and Hamilton depression scale(HAMD)scores(P>0.05).After intervention,HAMA and HAMD scores in the observation group were significantly lower than those in the reference group(P<0.05).Before intervention,there were no significant differences in the assessment of face,avoidance and submission among groups(P>0.05).After intervention,the face score of the observation group was higher than that of the reference group,and the avoidance and submission scores were significantly lower than that of the reference group(P<0.05).Before intervention,there were no significant differences in resilience,such as resilience,optimism and self-reliance among groups(P>0.05).After intervention,the tenacity,optimism and self-reliance scores of the observation group were significantly higher than those of the reference group(P<0.05).The cooperation degree of observation group was 90.00%,and that of reference group was 66.67%,with significant difference between groups(P<0.05).In addition,the incidence of postoperative adverse reactions was 6.67%in the observation group and 30.00%in the reference group,with significant differences between groups(P<0.05).Before intervention,there were no significant differences in quality of life scores between the two groups(P>0.05).After the intervention,the qua

关 键 词：囊肿 超声介入治疗 心理护理 放松训练 负性情绪 配合度 生活质量 

分 类 号：R47[医药卫生—护理学]