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目的:探讨认知疗法在骨科慢性疼痛性疾病患者护理中的应用。方法:选取该院2013年6月至2014年2月被在骨科被诊断为慢性疼痛性疾病的患者48例,根据自愿原则随机将其分为观察组24例和对照组24例,其中对照组患者采用骨科常规护理的方法,观察组患者在骨科常规护理方法基础上采用认知疗法。对两组患者治疗后的疼痛等级,以及抑郁程度、焦虑程度等进行分析。结果:观察组患者治疗后疼痛等级0级为18例、1级为4例、2级为1例、3级为1例;观察组患者治疗后疼痛等级0级为10例、1级为6例、2级为5例、3级为3例。观察组患者SDS评分为(37.7±5.8)分,SAS评分为(44.8±6.7)分;对照组患者SDS评分为(45.1±6.3)分,SAS评分为(49.2±6.4)分,差异具有统计学意义(P<0.05)。结论:采用认知疗法护理骨科慢性疼痛性疾病患者与采用骨科常规护理方法相比,患者的疼痛程度得到明显缓解,减少了抑郁、焦虑等不良情况的发生,有利于患者的恢复,临床效果显著,应在临床得到广泛推广。
Objective: To investigate the application of cognitive therapy in the nursing of patients with chronic pain diseases of orthopedics. Methods: Forty-eight patients diagnosed as chronic pain in orthopedics from June 2013 to February 2014 in our hospital were randomly divided into observation group (24 cases) and control group (24 cases) according to the voluntary principle. The control group Patients with orthopedic routine care methods, observation group patients with orthopedics based on conventional nursing methods using cognitive therapy. Two groups of patients after treatment, the level of pain, as well as the degree of depression, anxiety, etc. were analyzed. Results: In the observation group, pain grade 0 was 18, grade 1 was 4, grade 2 was 1 and grade 3 was 1. In the observation group, pain grade 0 was 10 and grade 1 6 after treatment For example, grade 2 was 5 and grade 3 was 3. SDS score of the observation group was (37.7 ± 5.8) and SAS score was (44.8 ± 6.7), SDS score was (45.1 ± 6.3) and SAS score was (49.2 ± 6.4), the difference was statistically significant Significance (P <0.05). CONCLUSION: Compared with the conventional orthopedic nursing care method, the patients with chronic pain disease of orthopedics nursing care using cognitive therapy significantly relieve the pain and reduce the incidence of depression and anxiety, which is in favor of the patients’ recovery and the clinical effect is significant , Should be widely promoted in clinical practice.