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防御体系干预结合贝克认知疗法在腹主动脉瘤围手术期患者中的应用效果观察

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目的:探讨防御体系干预结合贝克认知疗法在腹主动脉瘤围手术期患者中的应用效果.方法:选取 2022 年5 月—2023 年 5 月南华大学附属第二医院收治的 110 例腹主动脉瘤患者作为研究对象,所有患者均经手术治疗,根据随机数表法分为试验组和参照组,每组各 55 例.参照组采用常规围术期护理措施,试验组在此基础上给予防御体系干预结合贝克认知疗法干预,比较两组手术相关指标,并对干预前后负性情绪进行比较,观察两组并发症发生率,统计两组对护理措施的满意程度.结果:试验组住院时间和住院费用均少于参照组,差异有统计学意义(P<0.05);干预后,试验组焦虑自评量表(SAS)和抑郁自评量表(SDS)评分较对照组更低,差异有统计学意义(P<0.05);试验组并发症发生率明显低于参照组,差异有统计学意义(P<0.05);试验组总满意度明显高于参照组,差异有统计学意义(P<0.05).结论:防御体系干预结合贝克认知疗法在腹主动脉瘤围手术期患者中的应用效果较好,可改善患者焦虑抑郁等负性情绪,减少并发症,提高患者满意度.
Observation on the Effect of Defense System Intervention Combined with Baker Cognitive Therapy in Perioperative Patients with Abdominal Aortic Aneurysm
Objective:To investigate the effect of defense system intervention combined with Baker cognitive therapy in perioperative patients with abdominal aortic aneurysm.Method:A total of 110 patients with abdominal aortic aneurysm admitted to The Second Affiliated Hospital of University of South China from May 2022 to May 2023 were selected as the study subjects,and all of whom underwent surgical treatment.They were divided into experimental group and reference group according to random number table method,with 55 cases in each group.The reference group received conventional perioperative nursing measures,and the experimental group received defense system intervention combined with Baker cognitive therapy intervention on the basis of reference group.The negative emotion before and after the intervention was compared,the complication rate of the two groups of patients was observed,and the satisfaction degree of the two groups of patients with nursing measures was calculated.Result:The hospitalization time and hospitalization cost of experimental group were lower than those of reference group,and the difference was statistically significant(P<0.05).The scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)in experimental group were lower than those of reference group after intervention,and the difference was statistically significant(P<0.05).The incidence of complications in experimental group was significantly lower than that in reference group,and the difference was statistically significant(P<0.05).The total satisfaction of experimental group was significantly higher than that of reference group,and the difference was statistically significant(P<0.05).Conclusion:Defense system intervention combined with Baker cognitive therapy has a good effect on perioperative patients with abdominal aortic aneurysm,which can improve patients'negative emotions such as anxiety and depression,reduce complications,and improve patient satisfaction.

Defense system interventionBaker cognitive therapyAbdominal aortic aneurysmPerioperative periodApplication effect

江友金

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南华大学附属第二医院 湖南 衡阳 421001

防御体系干预 贝克认知疗法 腹主动脉瘤 围手术期 应用效果

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(27)