以认知行为疗法为主的护理干预对胃大部分切除患者生活质量的影响.docx

以认知行为疗法为主的护理干预对胃大部分切除患者生活质量的影响 陈茜茜 常德职业技术学院附属第一医院湖南常德415000 【摘 要】目的：探讨以认知行为疗法为主的护理干预对胃大部分切除患者 生活质量的影响。方法：选取本院2014年5月至2016年5月收治的180例彳亍胃 大部分切除术病患作为研究对象，按照随机数字表法分为对照组和观察组，各 90例。对照组行常规护理，观察组在此基础上行以认知行为疗法为主的护理干 预，比较两组病患的生活质量水平。结果：两组病患干预前在总体健康、生理职 能、生理功能、躯体疼痛、情感职能、活力、精神健康、社会功能八个角度的评 分均无明显差异(Pgt；0.05)；干预后，观察组病患在总体健康、生理职能、生 理功能、躯体疼痛、情感职能、活力、精神健康、社会功能八个角度的评分明显 高于对照组，差异具有统计学意义(Plt;0.01)o结论：对胃大部分切除患者行 以认知行为疗法为主的护理干预，可显著提高病患生活质量，值得推广。 【关键词】认知行为疗法；护理干预；胃大部分切除；生活质量 [Abstract] objective： to study on the cognitive behavioral therapy of nursing intervention on the quality of life of patients with most gastric resection. Selection methods： our hospital in May 2014 to May 2016 treated 180 patients underwent resection of the stomach most patients as the research object, according to random number table method was divided into control group and observation group, 90 cases each. Control group routine nursing, the observation group, which is mainly composed of cognitive behavior therapy on the basis of upward nursing intervention， compared two groups of patients life quality. Results： two groups of patients before intervention in general health, physical function， physiological function，the body pain，emoti on al f unctionsan d vitality, mental health, social f unction o f eight A ngle score had no obvious differenee (P gt; 0.05)； After the intervention, the observation group of patients in general health, physical function, physiological function, the body pain, emotional functions and vitality, mental health, social function of eight Angle score significantly higher than the control group, differenee has statistical significance (P lt; 0.01) . Conclusion： for most gastric resection in patients with cognitive behavioral therapy nursing intervention，can significantly improve patient quality of life, is worth promoting? [Key words] cognitive behavioral therapy； Nursing intervention； Most gastric resection； The quality of life 胃大部分切除术是临床外科中常见的手术治疗方法之一，该手术创伤大、术 后并发症多，会增加病患心理压力，导致病患产生自卑、害怕、恐