摘要
目的:探讨认知行为疗法对合并焦虑的慢性难愈合创面患者创面治疗效果的影响。方法:2018年2月-2019年8月收治合并焦虑的慢性难愈合创面患者39例,随机分为两组。对照组使用常规治疗及护理,观察组在常规治疗基础上使用认知行为疗法,比较两组患者心理状态变化、创面愈合各项指标水平及护理优良率。结果:观察组护理后2周、4周的焦虑自评量表(SAS)评分,汉密尔顿焦虑量表(HAMA)评分均明显低于对照组,差异有统计学意义(P<0.05);观察组护理后2周、4周的创面视觉疼痛量表(VAS)评分明显低于对照组,创面愈合率明显高于对照组,差异均有统计学意义(P<0.05);观察组护理优良率明显高于对照组,差异有统计学意义(P<0.05)。结论:认知行为疗法对合并焦虑的慢性难愈合创面患者创面治疗效果有积极影响,能明显降低患者焦虑情绪,减轻创面疼痛感,提高创面愈合率,提升整体护理评价。
Objective:To explore the effect of cognitive behavioral therapy on wound healing in patients with chronic refractory wounds complicated with anxiety.Methods:From February 2018 to August 2019,39 patients with chronic refractory wounds complicated with anxiety were selected and randomly divided into two groups.The control group received routine treatment and nursing.The observation group used cognitive behavioral therapy on the basis of routine treatment.We compared the changes of psychological state,the levels of various indexes of wound healing and the excellent and good rate of nursing between the two groups.Results:In the observation group,the SAS score and HAMA score at 2 and 4 weeks after nursing were significantly lower than those in the control group,the difference was statistically significant(P<0.05).In the observation group,the VAS pain score of the wound at 2 and 4 weeks after nursing was significantly lower than that of the control group,and the wound healing rate was significantly higher than that of the control group,the difference was statistically significant(P<0.05).The excellent rate of nursing in the observation group was significantly higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Cognitive behavioral therapy has a positive effect on the wound treatment of patients with chronic refractory wounds complicated with anxiety,it can significantly reduce patients'anxiety,reduce wound pain,improve wound healing rate and improve overall nursing evaluation.
作者
何瑛
He Ying(Wound Treatment Center,North District,Suzhou Municipal Hospital,Jiangsu Suzhou 215000)
出处
《中国社区医师》
2021年第33期174-176,共3页
Chinese Community Doctors
基金
重大疾病防治科技行动计划创伤修复专项,2017ZX01001。
关键词
慢性难愈合创面
焦虑
认知行为疗法
治疗效果
Chronic refractory wounds
Anxiety
Cognitive behavioral therapy
Treatment effect
