认知干预对骨科患者心理状况及慢性疼痛的影响

目的探讨在骨科病房中引进认知干预疗法对患者的心理状况及慢性疼痛的影响,为今后的临床护理工作开展提供思路。方法选取骨科于2010年3月～2012年9月收治的116例慢性疼痛病例资料,采用随机数字表法进行随机分组,分别设为研究组和对照组各58例,两组患者均给予常规对症治疗和护理,而研究组在此基础上给予认知干预疗法。待4 w末,利用焦虑测评量表(SAS)和抑郁测评量表(SDS)对两组患者的心理状况进行评价,同时综合分析其慢性疼痛的改善情况。结果待干预第4周末,研究组SAS评分为(44.6±7.3),对照组SAS评分为(47.3±6.8),两组之间存在统计学差异(p<0.05);研究组SDS评分为(39.3±6.8),对照组SDS评分为(43.1±7.2),两组之间存在统计学差异(p<0.05);研究组疼痛发生率为20.7%,对照组疼痛发生率为37.9%,两组之间存在统计学差异(p<0.05);研究组疼痛改善情况明显优于对照组,且两组之间存在统计学差异(p<0.05)。结论对于骨科慢性疼痛患者,采取认知干预疗法能够明显改善其负性情绪,缓解其疼痛感,取得较为满意的临床效果。

THE EFFECT OF COGNITIVE INTERVENTION THERAPY ON THE PSYCHOLOGICAL STA- TUS AND CHRONIC PAIN OF ORTHOPEDIC PATIENTS

Objective Introduction of cognitive intervention therapy on the patient＇s psychological condition and chronic pain in the orthopedic ward, to provide ideas for future clinical care work. Methods 58 cases of patients with chronic pain, from March 2010 to September 2012, admitted in our hospital orthopedic ward were randomized u- sing the random number table to the study group and the control group, 29 cases in each group, patients in both groups treated with conventional symptomatic treatment and care, the study group is given cognitive intervention thera- py on this basis. To the end of 4 weeks, depression assessment scale （SDS） and anxiety Assessment Scale （SAS） were used to evaluate the psychological condition of the patients, while comprehensive analysis to improvement of the situation of chronic pain. Results After intervention to the end of 4th week, Study Group SAS score （44. 6 ±7.3）, SAS score of the control group （47.3 ±6. 8）, there is a significant difference between the two groups （p 〈0. 05） ; SDS scores of the study group （39. 3 ±6. 8 ）, SDS score of the control group （43.1 ± 7. 2）, there is a significant difference between the two groups （p 〈0. 05） ; pain occurrence rate in the study group was 20. 7%, pain in the con- trol group was 37.9%, between the two groups there is a statistically significant difference （p 〈0. 05） ; pain in the study group improved significantly better than the control group, and between the two groups, there is a significant difference （p 〈 0. 05 ）. Condusion Take cognitive intervention therapy for orthopedic patients with chronic pain can significantly improve their negative emotions, relieve pain, and achieved satisfactory clinical effectiveness.