贝克认知疗法在恶性骨肿瘤保肢术患者心理护理中的应用

Application of Beck cognitive therapy in the mental nursing of patients with malignant bone tumor undergoing limb salvage operation

目的探讨贝克认知疗法在骨科恶性肿瘤保肢术患者心理护理中的应用效果。方法将186例恶性骨肿瘤保肢术患者按随机数字表法分为观察组和对照组各93例。对照组给予骨科围术期常规心理护理,观察组在常规心理护理基础上进行贝克认知疗法,干预前后分别采用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评价患者心理状况。结果干预后观察组HAMD和HAMA评分显著低于对照组(均P<0.01)。结论贝克认知疗法能够降低恶性骨肿瘤保肢术患者围术期的焦虑和抑郁程度,有利于缓解患者不良情绪。

Objective To investigate the effects of Beck cognitive therapy in mental nursing of patients with malignant bone tumor un- dergoing limb salvage operation. Methods Totally, 186 patients with malignant bone tumor receiving limb salvage operation were randomly divided into an experimental group and a control group, each having 93 cases. Routine mental nursing was given to all the patients, and Beck cognitive therapy was additionally given to the experimental group. The Hamilton Depression Rating Scale （HAMD） and the Hamilton Anxiety Rating Scale（HAMA） were used to evaluate the mental condition before and after the inter vention. Results The scores of the HAMD and HAMA in the experimental group were significantly lower than those in the control group（P〈0.01 for both）. Conclusion The Beck cognitive therapy can obviously reduce anxiety and depression in patients with malignant bone tumor receiving limb salvage operation, and be conducve to minimize patientst negative emotions.