认知行为干预对断指再植术后康复效果的影响

Effect of Cognitive Behavioral Intervention on Rehabilitation following Finger Replantation

目的探讨认知行为干预对断指再植术后康复效果的影响。方法将300例(377指)行断指再植术的患儿按护理方法的不同分为2组:治疗组(155例,203指)和对照组(145例,174指)。对照组采用常规护理。治疗组在对照组护理的基础上对患儿及家长进行认知行为干预。采用焦虑自评量表(SAS)对2组干预前、干预后及出院前进行焦虑评分。统计2组的血管危象发生率及再植指成活率。结果治疗组干预后及出院前焦虑得分均明显低于对照组(均P<0.05)。治疗组的血管危象发生率明显低于对照组(P<0.05),而再植指成活率明显高于对照组(P<0.05)。结论对行断指再植术的患儿采用认知行为干预,不仅可以显著改善患儿的焦虑状态,而且能够有助于预防再植术后血管危象的发生,提高再植指的成活率。

Objective To explore the influence of cognitive behavioral intervention on rehabili- tation following finger replantation. Methods Three hundred children undergoing replantation of severed fingers （377 fingers） were given routine nursing care alone （control group,145 child,174 fingers） or in combination with cognitive behavioral intervention （treatment group, 155 child, 203 fingers）. The anxiety was assessed by self-rating anxiety scale （SAS） before intervention, after intervention and before discharge. The incidence of vascular crisis and survival rate of replantation fingers were recorded. Results Compared with control group, cognitive behavioral intervention decreased anxiety score after intervention and before discharge, reduced the incidence of vascular crisis,and increased survival rate in finger replantation （P〈0.05）. Conclusion Cognitive behav- ioral intervention can significantly improve anxiety state,prevent vascular crisis and increase sur- vival rate in finger replantation.