认知行为护理在支气管哮喘患者中的应用效果

目的：观察认知行为护理在支气管哮喘患者中的应用效果。方法：选取92例支气管哮喘患者为研究对象，按照随机数字表法分为观察组与对照组各46例。对照组给予常规护理，观察组在对照组基础上给予认知行为护理，比较两组焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分、护理依从率、住院时间和支气管哮喘知识掌握程度。结果：出院时，两组SAS、SDS评分均低于护理前，且观察组低于对照组，差异有统计学意义（P<0.05）；观察组护理依从率为95.65%，明显高于对照组的80.43%，差异有统计学意义（P<0.05）；观察组住院时间为（7.28±1.17）d，明显短于对照组的（9.46±1.30）d，差异有统计学意义（P<0.05）；出院时，两组基础理论知识评分和行为技巧掌握情况评分均高于护理前，且观察组高于对照组，差异有统计学意义（P<0.05）。结论：在常规护理基础上采用认知行为护理可降低支气管哮喘患者SAS、SDS评分，提高其护理依从率和支气管哮喘知识掌握程度，以及缩短住院时间，效果优于单纯常规护理。

Application effects of cognitive behavioral nursing in patients with bronchial asthma

Objective:To observe application effects of cognitive behavioral nursing in patients with bronchial asthma.Methods:92 patients with bronchial asthma were selected as the research objects,and were divided into observation group and control group according to the random number table method,each with 46 cases.The control group was given routine nursing,while the observation group was given cognitive behavioral nursing on the basis of that of the control group.The self-rating anxiety scale(SAS)score,the self-rating depression scale(SDS)score,the nursing compliance rate,the hospitalization time and the bronchial asthma knowledge mastery situation were compared between the two groups.Results:At discharge,the SAS and SDS scores of the two groups were lower than those before the nursing;those of the observation group were lower than those of the control group;and the differences were statistically significant(P<0.05).The nursing compliance rate of the observation group was 95.65%,which was significantly higher than the control group of 80.43%,and the difference was statistically significant(P<0.05).Further,the hospitalization time of the observation group was(7.28±1.17)days,which was significantly shorter than(9.46±1.30)days in the control group,and the difference was statistically significant(P<0.05).At discharge,the basic theory knowledge score and the behavior skill score of the two groups were higher than those before the nursing;those of the observation group were higher than those of the control group;and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the cognitive behavioral nursing can reduce the SAS and SDS scores of the patients with bronchial asthma,improve their nursing compliance rates and the bronchial asthma knowledge mastery situation,and shorten the hospitalization time.Moreover,it is superior to simple routine nursing.