认知疗法对缓解慢性骨关节炎患者负性情绪及疼痛感的效果评价

摘要

Objective:To explore the efficacy of cognitive therapy in alleviating negative emotions and sense of pain in patients with chronic osteoarthritis. Methods:85 patients with chronic osteoarthritis were randomly divided into the observation group(n=43)and the control group(n=42). The routine nursing care was taken in the control group and the extra cognitive therapy was implemented in the ob-servation group. The improvement of the patients' compliance,mental status and the degree of pain was compared and analyzed between the two groups before and after intervention. Results:The patients' compliance was significantly higher in the observation group than that in the control group after intervention(P﹤0. 05);the scores of HAMA and HAMD were significantly lower in the observation group than those in the control group(P﹤0. 05);the degree of pain of the patients was significantly lower after intervention than that before intervention in the observation group(P﹤0. 05),and the difference in the comparison of the degree of pain of the patients before and after intervention was not statistically significant in the control group(P﹥0. 05). Conclusion:Application of cognitive therapy to patients with chronic osteoar-thritis can effectively relieve their negative emotions and the degree of pain.%目的：探讨认知疗法对缓解慢性骨关节炎患者负性情绪及疼痛感的效果。方法：将85例慢性关节疼痛患者随机分为观察组43例和对照组42例，对照组采用常规性护理，观察组在对照组基础上采用认知疗法，对比分析两组患者干预前后依从性、心理状况及疼痛程度改善情况。结果：观察组干预后依从性显著高于对照组（P﹤0.05）；汉密尔顿焦虑量表（HAMA）评分、汉密尔顿抑郁量表（HAMD）评分显著低于对照组（P﹤0.05）；观察组干预后疼痛程度显著低于干预前（P﹤0.05），而对照组干预前后疼痛程度比较差异无统计学意义（ P﹥0.05）。结论：对慢性骨关节炎患者应用认知疗法能有效改善患者负性情绪，缓解其疼痛感，有利于患者预后。