摘要
目的:探讨认知行为干预对慢性胆囊炎患者微创胆囊切除术术前焦虑、希望水平及术后躯体恢复的影响。方法:选取2016年3月至2018年9月在西安交通大学第二附属医院接受微创胆囊切除术治疗的108例慢性胆囊炎患者,经随机数表法将其分为对照组与干预组,每组各54例。对照组接受术前常规干预,干预组在常规干预基础上进行认知行为干预。分别采用焦虑自评量表(Self-rating Anxiety Scale,SAS)、Herth希望量表(Hertz Hope Index,HHI)检测两组患者入院即刻、术前12 h焦虑评分、希望水平评分,并记录术后躯体康复时间。结果:入院即刻,两组患者的SAS评分值、HHI总分及各个维度评分值差异均无统计学意义(P>0.05)。术前12 h,干预组SAS评分值低于术前及对照组(P<0.05);HHI总分及各个维度评分值均高于术前及对照组(P<0.05)。干预组肠道排气时间、术后下床活动时间、术后住院时间均短于对照组患者(P<0.05)。结论:微创胆囊切除术患者接受认知行为干预,可有效缓解其术前焦虑并增加希望水平、加速术后躯体康复。
Objective:To explore the effect of cognitive behavior intervention on preoperative anxiety,preoperative hope level and postoperative physical recovery of patients with chronic cholecystitis after minimally invasive cholecystectomy.Methods:From March 2016 to September 2018,108 patients with chronic cholecystitis who received minimally invasive cholecystectomy in our hospital were divided into a control group and an intervention group by random number table method,54 cases in each group.The patients in the control group received routine intervention before operation,and the patients in the intervention group received cognitive behavioral intervention on the basis of routine intervention.Self-rating Anxiety Scale(SAS)and Hertz Hope Index(HHI)were used to measure the anxiety score and hope level score of the two groups immediately after admission,and 12 hours before operation.In addition,the physical recovery time after operation was recorded.Results:Immediately after admission,there was no significant difference in SAS score,HHI total score and scores of all dimensions between the two groups(P>0.05).Twelve hours before operation,the SAS score of the intervention group was lower than that of preoperative and control group(P<0.05),and the total score of HHI and the scores of all dimensions were higher than those of preoperative and control group(P<0.05).The patients in the intervention group had shorter bowel exhaust time,activity time after operation and hospital stay after operation than those in the control group(P<0.05).Conclusion:The cognitive behavioral intervention can effectively relieve the anxiety before operation,increase the level of hope,and accelerate the physical recovery after operation.
作者
杨荔
孟小芬
杨豆豆
薛云珠
逯云
路燕
雷焕琴
孙蕾
张莹
高楠
YANG Li;MENG Xiaofen;YANG Doudou;XUE Yunzhu;LU Yun;LU Yan;LEI Huanqin;SUN Lei;ZHANG Ying;GAO Nan(Department of General Surgery,2nd Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710004,China)
出处
《临床与病理杂志》
CAS
2021年第8期1844-1849,共6页
Journal of Clinical and Pathological Research
基金
陕西省自然科学基金(2013K12-01)。
关键词
微创胆囊切除术
慢性胆囊炎
认知行为干预
焦虑
希望水平
躯体恢复
minimally invasive cholecystectomy
chronic cholecystitis
cognitive behavior intervention
anxiety
hope level
physical recovery
