摘要
目的:探讨认知行为干预联合动态化疼痛管理对颅内动脉瘤(ICA)患者术后康复的影响。方法:选取2022年10月-2024年5月中山市人民医院收治的ICA患者90例,按随机数字表法分为对照组(n=45)、干预组(n=45);对照组给予常规干预,干预组在常规干预基础上予以认知行为干预联合动态化疼痛管理。对比两组术后康复指标、疼痛程度、身心应激反应及睡眠状况。结果:干预组术后首次下床时间较对照组早,总住院时间较对照组短,差异有统计学意义(P<0.05);干预组术后24、72 h静息性、活动性疼痛数字分级评分法(NRS)评分较对照组低,差异有统计学意义(P<0.05);干预组出院当天医院焦虑抑郁量表(HADS)各项评分、匹兹堡睡眠质量指数(PSQI)评分较对照组低,差异有统计学意义(P<0.05)。结论:ICA患者采用认知行为干预联合动态化疼痛管理可促进术后康复,减轻疼痛程度,改善心理状况及睡眠状况。
Objective:To explore the effect of cognitive-behavioral intervention combined with dynamic pain management on postoperative rehabilitation of patients with intracranial aneurysms(ICA).Method:A total of 90 patients with ICA admitted to Zhongshan People's Hospital from October 2022 to May 2024 were selected and divided into the control group(n=45)and the intervention group(n=45)according to the random number table method.The control group was given conventional intervention,while the intervention group was given cognitive-behavioral intervention combined with dynamic pain management on the basis of conventional intervention.The postoperative rehabilitation indicators,pain degrees,physical and mental stress responses,and sleep conditions of the two groups were compared.Result:The first time to get out of bed after surgery in the intervention group was earlier than that in the control group,the total hospital stay in the intervention group was shorter than that in the control group,the differences were statistically significant(P<0.05).The numerical rating scale(NRS)scores for resting and active pain in the intervention group at 24 and 72 hours after surgery were lower than those in the control group,the differences were statistically significant(P<0.05).On the day of discharge,the scores of the hospital anxiety and depression scale(HADS)and the Pittsburgh sleep quality index(PSQI)in the intervention group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Cognitive-behavioral intervention combined with dynamic pain management can promote postoperative recovery,reduce pain levels,improve psychological and sleep conditions in ICA patients.
作者
韩雪
HAN Xue(Department of Cerebrovascular Intervention,Zhongshan People's Hospital,Zhongshan 528400,China)
出处
《中国医学创新》
2025年第26期74-78,共5页
Medical Innovation of China
关键词
颅内动脉瘤
认知行为干预
动态化疼痛管理
术后康复
Intracranial aneurysm
Cognitive-behavioral intervention
Dynamic pain management
Postoperative rehabilitation
