以问题为指导的认知-行为干预在上睑下垂矫正术患者围手术期护理中的应用

Application of Problem-guided Cognitive-behavioral Intervention in Perioperative Nursing of Patients Undergoing Ptosis Correction

目的:探究以问题为指导的认知-行为干预在上睑下垂矫正术患者围手术期护理中的应用效果。方法:回顾性选取2021年1月-2023年3月于笔者医院行上睑下垂矫正术的100例患者作为研究对象,根据护理干预方法的不同分为对照组(50例,常规护理干预)和观察组(50例,以问题为指导的认知-行为干预)。比较两组心理状况[焦虑自评量表(Self-rating anxiety scale,SAS)、抑郁自评量表(Self-rating depression scale,SDS)]、应对方式[医学应对问卷(Medical coping modes questionnaire,MCMQ)]、健康行为[健康促进生活方式量表(Health promoting lifestyle profile-Ⅱ,HPLP-Ⅱ)]、用药依从性[Morisky用药依从性量表(Morisky medication adherence scale,MMAS-8)]及生活质量[WHO生存质量测定量表(WHO quality of life-brief,WHOQOL-BREF)]。结果:干预3个月后,观察组SAS、SDS评分低于对照组,MCMQ中屈服、回避维度评分低于对照组,面对维度评分高于对照组,HPLP-Ⅱ各维度评分均高于对照组,生活质量评分优于对照组,差异均有统计学意义(P<0.05)。干预后,观察组MMAS-8评分高于对照组(P<0.05)。结论:以问题为指导的认知-行为干预可有效改善上睑下垂矫正术患者心理状态、应对能力和健康行为,提高患者用药依从性和生活质量。

Objective To explore the application effect of problem-guided cognitive-behavioral intervention in perioperative nursing of patients undergoing ptosis correction.Methods A total of 100 patients undergoing ptosis correction in the hospital were retrospectively enrolled as the research objects between January 2021 and March 2023.According to different perioperative intervention methods,they were divided into control group(50 cases,routine nursing)and observation group(50 cases,problem-guided cognitive-behavioral intervention).Psychological status[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],[medical coping modes questionnaire(MCMQ)],health behavior[health promoting lifestyle profile-Ⅱ(HPLP-Ⅱ)],medication adherence[morisky medication adherence scale(MMAS-8)],quality of life[WHO quality of life-brief(WHOQOL-BREF)]were compared between the two groups.Results After 3 months of intervention,the SAS and SDS scores of the observation group were lower than those of the control group,the yield and avoidance dimension scores of MCMQ were lower than those of the control group,the face dimension score was higher than that of the control group,the dimension scores of HPLP-Ⅱwere higher than those of the control group,and the quality of life score was better than that of the control group,and the differences were statistically significant(P<0.05).After intervention,the MMAS-8 score of the observation group was higher than that of the control group(P<0.05).Conclusion Problem-guided cognitive-behavioral intervention can effectively improve psychological state and coping ability of patients after ptosis correction,improve health behaviors,medication compliance,and quality of life.