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目的探讨认知行为干预对PICC置管肝肺疾病患者负性情绪、生活质量及并发症的影响。方法选取2012年6月至2016年5月期间我院收治的PICC置管肝肺疾病患者82例,分为观察和对照两组,各41例。对照组行常规护理干预,观察组行认知行为干预,对比两组干预后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分、干预前后生活质量评分和并发症发生率情况。结果观察组干预后SAS和SDS评分低于对照组,差异有统计学意义(P<0.05);观察组干预后躯体功能、认知功能、情绪功能、角色功能、社会功能和总体健康评分高于对照组,观察组干预后疼痛、疲乏和恶心呕吐评分低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论认知行为干预可明显减轻行PICC置管肝肺疾病患者负性情绪,提高其生活质量,降低并发症发生率。
Objective To investigate the effects of cognitive behavioral intervention on negative emotions, quality of life and complications in PICC patients with hepatopulmonary disease. Methods From June 2012 to May 2016, 82 patients with PICC-treated liver and lung diseases admitted in our hospital were divided into observation and control group, 41 cases in each group. The control group received routine nursing interventions and the cognitive group interventions were performed. The anxiety self-rating scale (SAS), the depression self-rating scale (SDS), the quality of life score before and after intervention and the complication rate were compared between the two groups . Results The scores of SAS and SDS in the observation group were lower than those in the control group after intervention (P <0.05). The body function, cognitive function, emotional function, role function, social function and general health score in the observation group were higher than those in the control group The scores of pain, fatigue and nausea and vomiting in the control group and observation group were lower than those in the control group (P <0.05). The complication rate in the observation group was lower than that in the control group (P <0.05) ). Conclusion Cognitive and behavioral intervention can significantly reduce the negative emotions, improve the quality of life and reduce the incidence of complications in PICC patients with liver and lung disease.