基于认知行为理论的延续性护理在骨盆骨折患者疼痛管理及康复信心建立中的应用OA
Application of continuous nursing based on cognitive behavioral theory in pain management and rehabilitation confidence establishment of patients with pelvic fractures
目的 探讨基于认知行为理论(cognitive behavioral theory,CBT)的延续性护理对骨盆骨折患者疼痛控制、康复信心及生活能力的影响.方法 选取 2024年1月至12月于南昌大学第二附属医院接受治疗的76例骨盆骨折患者作为研究对象,采用随机数字表法分为对照组(n=38)和观察组(n=38).对照组进行常规护理,观察组在常规护理基础上进行基于CBT的延续性护理,干预时间为3个月.采用视觉模拟评分量表(visual analogue scale,VAS)评估疼痛程度,康复信心量表(rehabilitation confidence scale,RCS)评价康复信念,Barthel 指数测定日常生活活动能力(activities of daily living,ADL),记录并发症及满意度情况.结果 干预后,观察组患者的VAS评分低于对照组(P<0.001),RCS评分、ADL评分均高于对照组(P<0.001).观察组并发症发生率低于对照组,护理满意度高于对照组(P<0.05).结论 基于CBT的延续性护理可有效减轻骨盆骨折患者的疼痛感受,强化康复信心,提升生活自理能力,降低并发症风险并提高护理服务认可度.
Objective To explore the impact of continuous nursing based on cognitive behavioral theory(CBT)on pain control,rehabilitation confidence,and daily living ability in patients with pelvic fractures.Methods A total of 76 patients with pelvic fractures treated at the Second Affiliated Hospital of Nanchang University from January to December 2024 were enrolled as study subjects,they were randomly assigned to control group(n=38)and observation group(n=38)using a random number table method.The control group received conventional care,while the observation group received additional CBT-based continuous care in addition to standard care for a period of 3 months.Pain severity was assessed using the visual analogue scale(VAS),rehabilitation confidence was evaluated with the rehabilitation confidence scale(RCS),activities of daily living(ADL)were measured with the Barthel index and complications as well as patient satisfaction were recorded.Results After intervention,the VAS score in observation group was significantly lower than that in control group(P<0.001),the RCS score and ADL score were higher than those in control group(P<0.001).The incidence of complications in observation group was significantly lower than that in control group,while the nursing satisfaction rate was significantly higher than that in control group(P<0.05).Conclusion CBT-based continuous nursing can effectively alleviate pain perception,strengthen rehabilitation confidence,improve self-care ability,reduce the risk of complications,and enhance the recognition of nursing services in patients with pelvic fractures.
唐芬芬
南昌大学第二附属医院,江西 南昌 330000
医药卫生
认知行为理论延续性护理骨盆骨折日常生活活动能力
Cognitive behavioral theoryContinuity of carePelvic fractureActivities of daily living
《中国现代医生》 2026 (23)
43-46,4
评论