围手术期认知治疗对消化道手术患者焦虑抑郁的干预效应

目的 探讨嗣手术期认知治疗对消化道手术患者焦虑抑郁心理的干预效应.方法 对135例消化道手术患者随机分为干预组与非干预组,干预组在围手术期实施认知治疗.比较SAS、SDS分值和疗效、住院时间,并与全国常模比较.结果 (1)手术前患者的SAS和SDS分值两组间差异无统计学意义(P＞0.05),均显著高于全国常模值(P＜0.01),表明患者术前有较明显的焦虑抑郁情绪.(2)干预组的SAS和SDS分值术后显著降低术前(P＜0.01),也显著低于非干预组(P＜0.01),恢复至全国常模水平(P＞0.05),提示认知治疗干预能缓解患者围手术期的焦虑抑郁情绪.(3)尽管两组的疗效相仿(P＞0.05),但干预组的平均住院时间显著缩短(P＜0.01).结论 围手术期消化道手术患者存在较明显的焦虑抑郁情绪,认知治疗可减轻嗣手术期焦虑抑郁,有利于患者早日康复.

The intervention effect of cognition therapy for perioperative patients of digestive tract with depression and/or anxiety symptoms

Objective To discuss the intervention effect of cognition therapy for perioperative patients of digestive tract with depression and/or anxiety symptoms.Methods 135 patients with digestive tract operation were randomly divided into intervention group and non-intervention group.The patients in intervention group accepted cognition therapy.The Mores of SDS and SAS,the curative effect and hospitalized time were compared among the two groups and the norlns of our country at last.Results (1)The scores of SDS and SAS in the two group patients in pre-operation were no difference(P＞0.05),but all were significantly higher than those of the norms of our country(P＜0.01).It indicated that patients have evident depression and/or anxiety symptoms pre-operation. (2)Compared with pre-operation,the scores of SDS and SAS in the intervention group patients showed significantly lower after operation(P＜0.01),which returned to the norms of our country(P＞0.05),and showed lower than those of the non-intervention group predominantly (P＜0.01).This indicated that cognition therapy can relieve the depression and/or anxiety symptoms of the perioperative patients.(3)Though the therapeutic effect of the two group are similar(P＞0.05),but the hospitalized fime decurated in the intervention group predominantly(P＜0.01).Conclusion The periopexative patients of digestive tract had obvious depression and/or anxiety symptoms.Cognition therapy could relieve the depression and/or anxiety sympmms of the perioperative patients,this was helpful for patients to recover early.