认知行为干预在慢性肝炎患者心理护理中的应用

摘要

Objective To study the application effect of cognitive behavioral intervention in psychological nursing for patients with chronic hepatitis. Methods A total of 80 cases of hospitalized patients with chronic hepatitis were selected, and were randomly assigned to the control group and the experimental group. 40 patients in the control group were given routine nursing methods, while 40 cases in the experimental group were given cognitive behavioral intervention based on the routine nursing care. Psychological states of patients in two group were evaluated by self rating anxiety scale( SAS) and self rating depression scale( SDS) after 4 weeks′ intervention, and then intervention effect was compared. Results The SDS score and SAS score were (55.87±7.99),(57.28±6.87) in the control group and (48.87±5.49),(41.01±7.74) in the experimental group, and the data in experimental group was significantly lower than the control group ( t=-4. 56,-9. 94;P<0.01). Conclusions Cognitive behavioral intervention can effectively relieve the anxiety and depression of patients with chronic hepatitis, and it is a good intervention method.%目的：探讨认知行为干预在慢性肝炎患者心理护理中的应用效果。方法选取80例慢性肝炎住院患者作为研究对象，随机分为两组，每组40例。对照组给予常规护理方法，实验组在常规护理的基础上给予认知行为干预，干预4周后采用抑郁自评表( SDS)和焦虑自评表( SAS)评价两组患者的心理状态，比较干预效果。结果干预后对照组SDS(55.87±7.99)分、SAS(57.28±6.87)分，实验组SDS (48.87±5.49)分、SAS(41.01±7.74)分，实验组低于对照组，两组比较差异有统计学意义(t 值分别为－4.56，－9.94；P<0.01)。结论认知行为干预可以有效地减轻慢性肝炎患者的焦虑和抑郁，是一种较好的干预方法。