摘要
目的探讨认知行为疗法在重症监护患者护理过程中的应用和评价。方法将77例重症监护患者随机分为对照组(38例)和观察组(39例),对照组患者采用常规护理,观察组患者采用常规护理和认知行为疗法,通过汉密尔顿焦虑和抑郁量表、匹兹堡睡眠质量指数量表、重症监护护理质量量表和护理满意度量表来评定分析。结果干预后观察组患者焦虑评分、抑郁评分和睡眠质量评分均低于对照组患者评分(P<0.05),观察组在护理质量、护理技术、护理管理和护理意识均优于对照组(P<0.05),观察组患者对护理满意度为97.44%高于对照组患者对护理满意度的89.47%(P<0.05)。结论认知行为疗法能提高重症患者治疗疾病的信心,改善不良情绪和睡眠质量,提高综合护理质量和护理满意度,对促进护患关系有积极的作用。
Objective To explore application and evaluation of cognitive behavior therapy in intensive care patients.Methods 77 cases of intensive care patients were randomly divided into control group(38 cases)and observation group(39 cases).The patients in the control group was adopted routine nursing,while those in the observation group was adopted routine nursing and cognitive behavioral therapy.Analysis and assessments were done by hamilton anxiety scale,hamilton depression scale,pittsburgh sleep quality index scale,intensive care nursing quality scale and nursing satisfaction scale.Results After intervention,the anxiety score,depression score and sleep quality score of the observation group were lower than those of the control group(P<0.05).The nursing quality,nursing skills,nursing management and nursing consciousness of the observation group were better than those of the control group(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion The confidence of the patients with disease,the bad mood and sleep quality can be achieved by cognitive behavior therapy,as well as improving the quality of comprehensive nursing and the satisfaction of nursing,and having a positive effect on promoting the relationship between nurses and patients.
作者
宓思婕
MI Si-jie(Department o Intensive Medicine,Pingyi People's Hospital,Linyi 273300,China)
出处
《中国医药指南》
2020年第12期201-202,共2页
Guide of China Medicine
基金
山东省医药卫生计划(2017WS885)。
关键词
重症监护
认知行为疗法
负性情绪
护理质量
Intensive care
Cognitive behavior therapy
Negative emotion
Nursing quality
