认知行为干预对颈动脉支架置入术后患者的影响

Effect of cognitive behavior intervention on patients with carotid artery stenting

目的:探讨认知行为干预(CBT)对颈动脉支架置入术后患者的影响。方法:将60例颈动脉支架置入术后患者随机分为干预组40例和对照组20例。对照组进行常规护理,干预组在常规护理基础上实施CBT。比较两组干预效果。结果:两组干预前后血压、血糖、总胆固醇、三酰甘油及血流速度比较差异均有统计学意义(P<0.01),干预组干预后血压、血糖、总胆固醇、三酰甘油及血流速度与对照组比较差异有统计学意义(P<0.05);干预组干预后不良生活方式改善及生活质量均优于对照组(P<0.05)。结论:CBT能促进颈动脉支架置入术后患者身体康复,改善不良生活方式,提高生活质量,值得临床推广应用。

Objective：To investigate the effect of cognitive behavior intervention （CBT} on patients with carotid artery stenting. Meth- ods ：60 patients with carotid artery stenting were randomly divided into the intervention group （ n = 401 and the control group （ n = 20） af- ter surgery. The patients in the control group received routine nursing care and CBT was implemented in the intervention group on the basis of the routine. The effect of the intervention was compared between the two groups. Results ： There were statistically significant differences in the comparison of blood pressure, blood glucose, total cholesterol,triglyceride and blood flow velocity of the patients between the two groups before and after the intervention （ P 〈 0.01 ） ; the differences in the comparison of blood pressure, blood glucose, total cholesterol, triglyeer- ide and blood flow velocity of the patients were statistically significant between the two groups after the intervention I P 〈 0.05 ） ; the cor- rection of the bad lifestyle and the and quality of life of the patients were superior in the intervention group to the control group after the in- tervention （ P 〈 0.05 ）. Conclusion ： CBT can promote the rehabilitation of the patients, improve their life style and the quality of life after carotid artery stenting.