认知行为干预对腹腔镜结直肠癌手术患者术前焦虑抑郁情绪的影响

Impact of Cognitive Behavior Intervention on the Preoperative Anxious and Depressive Emotion of the Patients to be Subjected to Laparoscopic Colorectal Carcinoma Surgery

为探讨认知行为干预对腹腔镜结直肠癌手术患者术前焦虑抑郁情绪的影响，将80例拟行腹腔镜手术的结直肠癌患者随机分为观察组和对照组，各40例，观察组术前给予认知行为干预，对照组术前给予常规护理干预。采用焦虑自评量表（SAS）和抑郁自评量表（SDS）对干预前后患者不良情绪进行评分，出院前进行护理满意度调查，并进行组间对比分析。结果显示，两组患者干预前sAS、SDS评分均很高，组间比较差异无统计学意义，P〉0．05。干预后，观察组患者SAS、SDS评分明显下降，P〈0．05，对照组没有下降，反而略有升高，P〉0．05。两组干预后sAS、SDS评分比较差异有显著统计学意义，P〈0．05。观察组护理满意度明显高于对照组，P〈0．05。结果表明，对腹腔镜结直肠癌手术患者术前进行认知行为干预可缓解其焦虑、抑郁情绪，提高护理满意度。

In order to explore the influence of cognitive behavior intervention on the preoperative anxious and depressive emotion of the patients to be subjected to laparoscopic colorectal carcinoma surgery, authors randomly divided 80 patients to be subjected to laparoscopic colorectal carcinoma surgery into observation group and control group, n = 40 for eaeh;before operation gave cognitive behavior intervention to observa- tion group, while routine nurse intervention to control group;then, by using SAS （self-rating anxiety scale） and SDS（self-rating depression scale） scored the patient＇s adverse mood before and after intervention,and, before discharge took survey on the satisfactory degree of nursing, afterward compared and analyzed obtained results between both groups.As results, before interventi0n,the rating points of SAS and SDS were very high,there was no statistical difference between both groups（ P 〉0.05） ;after intervention the rating points of SAS and SDS in observation group were significantly decreased （ P〈0.05） ,in control group not only no decreasing, but increasing slightly（ P 〉0.05）, and between both groups there was statistical differ- ence（ P 〈0.05）;the nursing satisfactory degree of observation group was significantly higher than that of control group （ P 〈0.05）.Results show that for the colorectal carcinoma patients to be subjected to laparo- scopic surgery performing preoperative cognitive behavior intervention can relieve their anxious and depression mood, enhance their satisfactory degree to nursing.