首页|接纳与承诺疗法结合全方位疼痛护理对肛周脓肿患者疼痛程度及疾病自我感知的影响

接纳与承诺疗法结合全方位疼痛护理对肛周脓肿患者疼痛程度及疾病自我感知的影响

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目的 探究接纳与承诺疗法结合全方位疼痛护理对肛周脓肿患者疼痛程度及疾病自我感知的影响。方法 选取2020年2月至2022年3月收治的80例肛周脓肿患者为研究对象,根据随机数字表法将其分为对照组和观察组,各40例。对照组采用常规护理干预,观察组在对照组基础上加用接纳与承诺疗法结合全方位疼痛护理干预。比较两组的干预效果。结果 观察组的疼痛程度优于对照组,差异具有统计学意义(P<0。05)。干预后,观察组的改良疾病感知问卷(IPQ-R)各维度评分高于对照组,差异具有统计学意义(P<0。05)。干预后,观察组的角色适应、自我概念、生理状态、相互依赖评分高于对照组,差异具有统计学意义(P<0。05)。结论 接纳与承诺疗法结合全方位疼痛护理不仅能够减轻肛周脓肿患者的疼痛程度,还能提高其疾病自我感知能力、术后适应能力,改善心理状态,值得推广。
Effects of acceptance and commitment therapy combined with comprehensive pain nursing on pain degree and disease self-perception in patients with perianal abscess
Objective To explore the effects of acceptance and commitment therapy combined with comprehensive pain nursing on pain degree and disease self-perception in patients with perianal abscess.Methods A total of 80 patients with perianal abscess admitted from February 2020 to March 2022 were selected as the research objects and divided into control group and observation group according to the random number table method,with 40 cases in each group.The control group was adopted routine nursing intervention,and the observation group was adopted acceptance and commitment therapy combined with comprehensive pain nursing intervention on the basis of the control group.The intervention effects of the two groups were compared.Results The pain degree of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).After intervention,the scores of each dimension of the Revised Illness Perception Questionnaire(IPQ-R)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of role adaptation,self-concept,physiological state and interdependence in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Acceptance and commitment therapy combined with comprehensive pain nursing can not only reduce the pain degree of patients with perianal abscess,but also increase disease self-perception ability,postoperative adaptability,and improve psychological state,which is worthy of promotion.

acceptance and commitment therapycomprehensive pain nursingperianal abscesspain degreedisease self-perception

白冬梅、艾瑞

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西安交通大学第一附属医院榆林医院普外三科,陕西榆林,719000

接纳与承诺疗法 全方位疼痛护理 肛周脓肿 疼痛程度 疾病自我感知

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(20)