认知行为干预对缓解脊髓型颈椎病介入治疗术前焦虑的影响

探讨认知行为干预对缓解脊髓型颈椎病介入治疗患者术前焦虑的影响。方法:60例拟行颈部介入放射治疗术的脊髓型颈椎病患者,随机分为观察组和对照组各30例,均接受常规术前护理。观察组配合心理疏导及全身放松训练等认知行为干预。结果:干预3次后,观察组焦虑评分(SAS)与干预前及对照组比较均明显下降(P0.05,0.01)。对照组治疗前后差异无统计学意义。干预后,观察组手术时间及出血量均明显少于对照组(P0.01)。干预前及手术时观察组患者心率及血压变化不明显;对照组入手术室时则明显上升(P0.05,0.01)。结论:认知行为干预可以明显改善患者术前焦虑,降低生理应激反应,有利于手术顺利实施及术后康复。

Effects of Cognitive-behavioral Intervention on the Ease of Cervical Spondylotic Myelopathy Patientes' Anxiety before Interventional Therapy

Objective：To explore the effects of cognitive-behavioral intervention on the ease of cervical spondylotic myelopathy patientes＇ anxiety before interventional therapy. Methods：A total of 60 cases subject to cervical interventional radiotherapy were randomly divided into experimental group and control group. The patients in control group received general preoperative care,and those in experimental group not only received preoperative care,but also cognitive-behavioral intervention. Heart rate,blood pressure,anxiety,the average operation time and intraoperative blood loss on the admission were compared between two groups. Results：There was significant difference in SAS in experimental group before and after the cognitive-behavioral intervention （P0.01）,but there was no significant change in heart rate and blood pressure. In control group,there was no significant difference in SAS before and after the routine care ,but significant difference in heart rate and blood pressure was found （P0.01）. Conclusion：The cognitive-behavioral intervention can significantly alleviate patientes＇ preoperative anxiety and reduce the response of physiological stress,and is conducive to the successful implementation of operation and the rehabilitation after surgery.