理性情绪疗法联合认知行为干预对口腔颌面部恶性肿瘤患者术后焦虑情绪影响

Effect of Rational Emotive Therapy Combined With Cognitive Behavioral Intervention on Postoperative Anxiety of Patients With Oral and Maxillofacial Malignant Tumor

目的探讨理性情绪疗法联合认知行为干预对口腔颌面部恶性肿瘤患者术后焦虑情绪的影响。方法选取2016年6月—2018年6月在我院行口腔颌面部恶性肿瘤手术患者100例,按照随机数字法分为对照组与观察组,每组各50例。对照组患者术后给予常规护理加理性情绪疗法,观察组患者在对照组的常规护理基础上给予术后理性情绪疗法联合认知行为干预。两组患者均随访6个月,比较两组术前、术后SAS、SDS评分,同时采用UW-QOL量表对两组患者治疗后的生活质量进行评价以及遵医行为评分。结果对照组和观察组各自SAS、SDS评分呈逐月下降的趋势,但观察组下降幅度更大,且各月份之间两组差异均有统计学意义(P<0.05)。在疼痛、外观、语言、咀嚼、活动、吞咽方面,观察组分数均高于对照组。观察组在正确用药、按时运动、戒烟限酒、按时复查方面的遵医行为较对照组有明显改善,且两组之间差异有统计学意义(P<0.05)。结论理性情绪疗法联合认知行为干预可以较好地缓解口腔颌面部恶性肿瘤患者术后焦虑情绪。

Objective To explore the effect of rational emotive therapy combined with cognitive behavior intervention on postoperative anxiety of patients with oral and maxillofacial malignant tumor.Methods A total of 100 patients with oral and maxillofacial malignant tumor surgery in our hospital from June 2016 to June 2018 were selected and randomly divided into control group and observation group,50 cases in each group.Patients in the control group were given routine nursing and rational emotive therapy after operation,while patients in the observation group were given postoperative rational emotive therapy combined with cognitive behavior intervention on the basis of routine nursing in the control group.The patients in the two groups were followed up for 6 months.SAS and SDS scores before and after operation were compared between the two groups.At the same time,UW-QoL scale was used to evaluate the quality of life and compliance behavior score of the two groups after treatment.Results The SAS and SDS scores of the control group and the observation group decreased month by month,but the decrease range of the observation group was larger,and the difference between the two groups was statistically significant(P<0.05).Secondly,the scores of pain,appearance,language,chewing,anxiety and swallowing in the observation group were higher than those in the control group.Compared with the control group,the compliance behavior of the observation group in the aspects of correct medication,exercise on time,smoking cessation and alcohol restriction,and review on time was significantly improved,and the difference between the two groups was statistically significant(P<0.05).Conclusion Rational emotive therapy combined with cognitive behavioral intervention can effectively relieve the postoperative anxiety of patients with oral and maxillofacial malignant tumor.