认知行为干预对子宫切除术患者康复效果的影响及其应用价值

Effect of cognitive behavior intervention on rehabilitation efficacy of patients after hysterectomy and the application value

目的探讨认知行为干预对子宫切除术患者的临床效果及合理应用方式。方法对114例子宫切除术患者的临床治疗经过进行回顾性分析,根据治疗方式分为8腔气压治疗58例和认知行为治疗56例,前两种方法治疗失败采用8腔气压治疗联合认知行为治疗18例,对3种方式的治疗效果进行比较。结果 8腔气压治疗和认知行为主要诱发因素均为下肢静脉血栓和抑郁,并且8腔气压治疗组和认知行为组患者的各种诱发因素构成比较,差异均不具有统计学意义(P>0.05)。8腔气压治疗组和认知行为组手术时间比较差异不具有统计学意义(P>0.05),8腔气压治疗组的止血时间、术后出血量、术后下床活动时间、住院时间均显著的低于认知行为组(P<0.05)。8腔气压治疗组止血成功42例(72.41%),止血失败16例(27.59%),认知行为组成功止血54例(96.43%),治疗失败2例(3.57%),认知行为组治疗成功率显著高于气压治疗组(P<0.05)。气压治疗组止血失败16例患者和认知行为组治疗失败2例患者均紧急采用8腔气压治疗联合认知行为治疗,均成功止血,成功率达到100.00%,无患者发生死亡。结论 8腔气压治疗仪联合认知行为对子宫切除术患者术后止血效果最好。

Objective To explore the clinical effect of cognitive behavior intervention for patients after hysterectomy and the reasonable application mode. Methods The clinical treatment of 114 patients receiving hysterectomy was analyzed retrospectively, then the patients were divided into 8-cavity pressure treatment group （58 patients） and cognitive behavior treatment group （56 patients） according to treatment methods, 18 patients failing in the above-mentioned two methods were treated by 8-cavity pressure treatment combined with cognitive behavior treatment. The treatment effects of the third methods were compared. Results The main predisposing factors in 8-cavity pressure treatment group and cognitive behavior treatment group were deep venous thrombosis of lower extremity and depression. There was no statistically significant difference in the proportions of various predisposing factors between 8-cavity pressure treatment group and cognitive behavior treatment group （P〉0.05） . There was no statistically significant difference in operation time between 8-cavity pressure treatment group and cognitive behavior treatment group （P〉0. 05 ） . The hemostatic time, the amount of blood loss after operation, postoperative ambulation time, and hospitalization time in 8-cavity pressure treatment group were statistically significantly lower than those in cognitive behavior treat- ment group （P〈0.05） . The successful rate and failure rate of hemostasis in 8-cavity pressure treatment group were 72. 41% （42 patients） and 27.59% （16 patients） ; the successful rate and failure rate of hemostasis in cognitive behavior treatment group were 96.43% （54 patients） and 3.57% （2 patients） . The successful rate of treatment in cognitive behavior treatment group was statistically significantly higher than that in cognitive behavior treatment group （P〈0. 05） . Sixteen patients failing in hemostatic treatment in 8-cavity pressure treatment group and two patients failing in hemostatic treatment in cognitive behavior treatment group were treated by 8-cavity pressure treatment combined with cognitive behavior treatment, the successful rate of hemostasis was 100. 00%. No patient died. Conclusion The hemostatic effect of 8-cavity pressure therapeutic apparatus combined with cognitive behavior treatment is the best for patients after hysterectomy.