[1]赵利林.认知行为干预对胆囊结石手术患者自我护理能力、心理状态及护理依从性的影响[J].医学信息,2025,38(07):149-152.[doi:10.3969/j.issn.1006-1959.2025.07.030]
　ZHAO Lilin.Effect of Cognitive Behavioral Intervention on Self-care Ability, Psychological State and Nursing Compliance of Patients with Gallstone Surgery[J].Journal of Medical Information,2025,38(07):149-152.[doi:10.3969/j.issn.1006-1959.2025.07.030]
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认知行为干预对胆囊结石手术患者自我护理能力、心理状态及护理依从性的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年07期
页码:
149-152
栏目:
护理研究
出版日期:
2025-04-01

文章信息/Info

Title:
Effect of Cognitive Behavioral Intervention on Self-care Ability, Psychological State and Nursing Compliance of Patients with Gallstone Surgery
文章编号:
1006-1959（2025）07-0149-04
作者:
赵利林
高安瑞州医院外二科，江西 高安 330800
Author(s):
ZHAO Lilin
The Second Department of Surgery, Gao’an Ruizhou Hospital, Gao’an 330800, Jiangxi, China
关键词:
认知行为干预; 胆囊结石手术; 自我护理能力; 心理状态; 护理依从性
Keywords:
Cognitive behavioral intervention;  Gallstone surgery;  Self-care ability;  Psychological state;  Nursing compliance
分类号:
R473.6
DOI:
10.3969/j.issn.1006-1959.2025.07.030
文献标志码:
A
摘要:
目的 研究认知行为干预对胆囊结石手术患者自我护理能力、心理状态及护理依从性的影响。方法 选取2021年4月-2023年2月在我院行胆囊结石手术的70例患者为研究对象，采用随机数字表法分为对照组（n=35）和观察组（n=35），对照组给予常规护理，观察组在对照组基础上开展认知行为干预，观察两组自我护理能力、心理状态（焦虑和抑郁评分）、护理依从性、并发症发生率。结果 与干预前相比，两组干预后自我护理能力各维度（自护技能、自护责任感、自我概念、疾病健康知识）评分均升高，且与对照组比较，观察组自我护理能力各维度均更高（P＜0.05）；与干预前相比，两组干预后焦虑、抑郁评分均降低，且与对照组比较，观察组干预后焦虑、抑郁评分更低（P＜0.05）；与对照组护理依从率的82.86%相比，观察组护理依从率更高，为97.14%（P＜0.05）；与对照组并发症发生率的14.29%相比，观察组并发症发生率更低，为5.71%（P＜0.05）。结论 认知行为干预可提高胆囊结石手术患者自我护理能力，减轻焦虑和抑郁情绪，提高护理依从性，降低并发症发生率，促进良好预后，值得临床加以应用。
Abstract:
Objective To study the effect of cognitive behavioral intervention on self-care ability, psychological state and nursing compliance of patients with gallstone surgery. Methods A total of 70 patients who underwent gallstone surgery in our hospital from April 2021 to February 2023 were selected as the research objects. They were divided into control group (n=35) and observation group (n=35) by random number table method. The control group was given routine nursing, while the observation group was given cognitive behavioral intervention on the basis of the control group. The self-care ability, psychological state (anxiety and depression scores), nursing compliance and complication rate of the two groups were observed. Results Compared with before intervention, the scores of each dimension of self-care ability (self-care skills, self-care responsibility, self-concept, disease health knowledge) in the two groups increased after intervention, and compared with the control group, the dimensions of self-care ability in the observation group were higher (P<0.05). Compared with before intervention, the anxiety and depression scores of the two groups decreased after intervention, and compared with the control group, the anxiety and depression scores of the observation group were lower after intervention (P<0.05). Compared with 82.86% of the nursing compliance rate of the control group, the nursing compliance rate of the observation group was higher, accounting for 97.14% (P<0.05). Compared with 14.29% of the incidence of complications in the control group, the incidence of complications in the observation group was lower, accounting for 5.71% (P<0.05). Conclusion Cognitive behavioral intervention can improve the self-care ability of patients with gallstone surgery, reduce anxiety and depression, improve nursing compliance, reduce the incidence of complications, and promote good prognosis. It is worthy of clinical application.

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更新日期/Last Update: 1900-01-01