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目的观察认知行为治疗对腹腔镜胆囊切除术患者术前焦虑及术后恢复的影响。方法按计算机随机化程序将100例择期腹腔镜胆囊切除术患者分为观察组53例与对照组47例。对照组术前按常规进行入院指导、饮食指导等,观察组在对照组基础上于术前3d进行认知行为治疗。两组在术前及术后均进行焦虑自评量表评估,并记录术后情况。结果入院时两组患者的焦虑自评量表评分差异无统计学意义,手术前观察组的焦虑自评量表评分低于对照组(P=0.00),观察组患者术后意识恢复时间短于对照组(P=0.00);两组患者术后除首次肛门排气时间和住院时间两个项目之外,其他项目观察组患者均优于对照组(P<0.05)。结论认知行为治疗能减轻腹腔镜手术患者的术前焦虑,促进术后康复。
Objective To observe the effect of cognitive behavioral therapy on preoperative anxiety and postoperative recovery in patients undergoing laparoscopic cholecystectomy. Methods According to computer randomization procedure, 100 patients undergoing laparoscopic cholecystectomy were divided into observation group (n = 53) and control group (n = 47). Control group preoperative admission guidance, diet guidance, the observation group on the basis of the control group in the preoperative 3d cognitive behavior therapy. Both groups were evaluated before and after the anxiety self-rating scale, and recorded the postoperative situation. Results There was no significant difference in anxiety self-rating scale scores between the two groups at admission. The score of anxiety self-rating scale in pre-operation observation group was lower than that in control group (P = 0.00). The recovery time of postoperative consciousness in observation group was shorter than The control group (P = 0.00). The patients in the other groups except the first anal exhaust time and hospital stay after operation were better than the control group (P <0.05). Conclusions Cognitive behavioral therapy can relieve preoperative anxiety in patients undergoing laparoscopic surgery and promote postoperative recovery.