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| 认知行为干预在新型冠状病毒肺炎患者心理干预中的应用 |
| Application of cognitive behavioral intervention in psychological intervention of COVID-19 patients |
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| DOI：10.3969/j.issn.1007-8134.2020.05.017 |
| 中文关键词: 认知行为干预 新型冠状病毒肺炎 焦虑自评量表 抑郁自评量表 知信行水平 依从性 |
| 英文关键词: cognitive behavioral intervention COVID-19 self-rating anxiety scale self-rating depression scale level of knowledge, belief and behavior compliance |
| 基金项目:阜阳市科技局应急科技攻关项目（FK20202814） |
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| 中文摘要: |
| 目的 探讨认知行为干预在新型冠状病毒肺炎患者心理干预中的应用。方法 选取2020年2—3月于阜阳市第二人民医院收治的80例新型冠状病毒肺炎患者作为研究对象，随机分为对照组和观察组，每组各40例。对照组采用常规护理，观察组在对照组基础上联合认知行为干预，2组均完成9 d护理干预，比较2组焦虑自评量表（self-rating anxiety scale, SAS）评分、抑郁自评量表（self-rating depression scale，SDS）评分、知信行水平、患者遵医用药依从性及满意度情况。结果 观察组护理后SAS、SDS评分均低于对照组，观察组SAS、SDS评分下降幅度均大于对照组（P均＜0.05）；观察组护理后知信行水平均高于对照组，观察组知信行水平评分上升幅度大于对照组（P均＜0.05）；观察组护理后遵医防护、遵医用药依从性、护理质量满意度均高于对照组（P均＜0.05）。结论 认知行为干预用于新型冠状病毒肺炎患者中能减轻患者焦虑、抑郁症状，提高患者知信行水平、遵医用药依从性及满意度，值得推广应用。 |
| 英文摘要: |
| Objective To explore the application of cognitive behavioral intervention in psychological intervention of COVID-19 patients. Methods Eighty patients with COVID-19 diagnosed in Second People’s Hospital of Fuyang City from February to March in 2020 were selected as the research objects, and were randomly divided into control group and observation group, with 40 cases in each group. The control group was given routine nursing care, and the observation group was given cognitive behavioral intervention on the basis of the control group. Both groups completed 9-day nursing intervention. Self-rating anxiety scale (SAS) scores and self-rating depression scale (SDS) scores, level of knowledge, belief and behavior, compliance and satisfaction of patients with medical drugs were compared between 2 groups. Results SAS and SDS scores of the observation group after nursing were lower than those of the control group, and the decline of the scores in the observation group was more obvious than that in the control group (P＜0.05); the scores of knowledge, belief and behavior level in the observation group after nursing was higher than that in the control group, and the increase of the scores in the observation group was greater than that in the control group (P＜0.05); the compliance with medical protection, compliance with medical medication, and satisfaction with nursing quality in the observation group after nursing were higher than that in the control group (P＜0.05). Conclusions Cognitive behavioral intervention used in COVID-19 patients can reduce the symptoms of anxiety and depression, improve the level of knowledge, belief and behavior, enhance the compliance and satisfaction with medical drugs. It is worthy of promotion and application. |
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