认知行为干预改善良性前列腺增生患者围手术期负性情绪的效果分析

Effect of cognitive behavioral intervention on improving perioperative negative emotion in patients with benign prostatic hyperplasia

目的分析认知行为干预改善良性前列腺增生患者围手术期负性情绪的效果。方法将120例良性前列腺增生患者随机分为对照组和研究组,每组60例。对照组采用常规护理,研究组在常规护理的基础.上实施认知行为干预,比较两组患者术后膀胱冲洗时间和住院时间、治疗依性、治疗和护理满意度、抑郁自评量表(SDS)和焦虑自评量表(SAS)评分等。结果膀胱冲洗时间、术后住院时间研究组均短于对照组,差异具有统计学意义(P<0.01)。治疗依从性完全依从对照组为65.00%,研究组为86.67%,研究组明显高于对照组,差异具有统计学意义(P<0.01)。治疗满意度和护理满意度评分研究组均明显高于对照组,差异具有统计学意义(P<0.01)。SDS和SAS评分入院时两组差异无统计学意义(P>0.05),术前1h、术后24h和出院前研究组均明显低于对照组,差异均有统计学意义(P<0.01或<0.05)。结论认知行为干预能够显著缓解BPH患者围手术期焦虑、抑郁等负性情绪,减少术后膀胱冲洗和住院时间,提高治疗依从性,提高护理及治疗满意度。

Objective To evaluate the effect of cognitive behavioral intervention on perioperative negative emotion in patients with benign prostatic hyperplasia(BPH).Method A total of 120 patients,who planned to undergo transurethral plasma prostatectomy(TUPK),were randomized into two groups.60 patients deemed as the control group and were given routine care;another 60 patients deemed as the study group and were added cognitive behavioral intervention on the basis of routine care.The treatment and nursing satisfaction,Self-rating depression scale(SDS)and Self-rating anxiety scale(SAS)of the two groups were completed.Results 120 BPH patients received TUPK and completed the perioperative questionnaire survey.There was no significant abnormality in the general data of the two groups at admission.The total compliance rates of perioperative control group and study group were 65%vs.86.67%.The scores of treatment satisfaction and nursing satisfaction in the study group were significantly higher than the control group(P<0.01).There was no significant difference in SDS and SAS scores between the two groups at admission(P>0.05).Howerer,at 1H before operation,24h after operation and before discharge we noticed the SDS and SAS of study group was significantly lower than the control group(P<0.01 or<0.05).Conclusion The cognitive behavioral intervention can significantly alleviate perioperative anxiety,depression and other negative emotions,improve nursing and treatment satisfaction of perioperative BPH patients.