计算机辅助认知行为疗法在骨科创伤焦虑患者中的应用

Effects of computer-assisted cognitive behavioral therapy in orthopedic traumatic patients with anxiety

目的探讨计算机辅助认知行为疗法对骨科创伤患者焦虑、睡眠以及疼痛的影响。方法采用便利抽样法,选择2019年2-9月在山西医科大学第一医院骨科住院的80例创伤类择期手术患者为研究对象。随机分为观察组和对照组,各40例。对照组给予常规健康教育与心理疏导,观察组在此基础上辅助5次计算机化认知行为治疗。在干预前后分别采用SAS、阿森斯失眠量表(AIS)、VAS对两组患者干预前后焦虑、睡眠、疼痛状况进行评定。结果观察组接受认知行为干预后焦虑评分为(45.85±4.04)分,低于对照组的(49.60±2.27)分,差异有统计学意义(t=5.242,P<0.05);干预后观察组睡眠评分为(5.02±1.44)分,低于对照组的(6.42±1.44)分,差异有统计学意义(t=4.334,P<0.05);干预后观察组疼痛评分为(3.75±1.17)分,低于对照组的(4.40±1.03)分,差异有统计学意义(t=2.816,P<0.05)。结论计算机辅助认知行为疗法能有效改善骨科创伤手术患者焦虑、睡眠状态及疼痛反应,使心理治疗更标准,受益人群更广泛。

Objective To explore the effects of computer-assisted cognitive behavioral therapy(CCBT)on anxiety,sleep and pain in orthopedic traumatic patients.Methods Totally 80 traumatic patients receiving selective surgery in the Department of Orthopedics at First Hospital of Shanxi Medical University between February and September 2019 were selected by convenient sampling and randomized into an observation group and a control group,with 40 patients in each group.Patients in the control group received routine health education and psychological counseling,while patients in the observation group received CCBT 5 times on this basis.The Self-Anxiety Scale(SAS),Asens Insomnia scale(AIS)and Visual Analogue Scale(VAS)were used to evaluate the anxiety,sleep and pain status of the two groups before and after intervention.Results The anxiety score of the observation group after receiving CCBT was(45.85±4.04),lower than(49.60±2.27)of the control group,and the difference was statistically significant(t=5.242,P<0.05).The sleep score of the observation group after intervention was(5.02±1.44),lower than(6.42±1.44)of the control group,and the difference was statistically significant(t=4.334,P<0.05).The pain score of the observation group after intervention was(3.75±1.17),lower than(4.40±1.03)of the control group,and the difference was statistically significant(t=2.816,P<0.05).Conclusions CCBT can effectively ameliorate the anxiety,sleep and pain response of orthopedic traumatic patients,make psychological treatment more standardized,and benefit a wider population.