CAJ | 학술논문

目的：研究认知疗法在腰椎间盘突出症患者中的应用价值，以及认知疗法相应的护理方法。方法收集观察2013年2月～2014年3月腰椎间盘突出症患者262例，采用认知疗法干预方法实施护理，与往年进行常规护理的同类患者相互对照。比较两组患者的腰间盘突出症相关知识知晓率和出院后医嘱依从性。结果两组患者治疗前疼痛评分及焦虑状态比较，u值为0.0742、0.4101，无统计学差异（p＞0.05），治疗1 w及2 w后疼痛评分和焦虑程度比较，u值分别为2.2396、2.3901及5.2018、2.8371，差异均有统计学意义（p＜0.01），观察组疼痛及焦虑程度缓解明显优于对照组；观察组的总有效率为88.93％，对照组的总有效率为86.26％，两组总体疗效存在明显差异（p＜0.05）；观察组护理满意度为（98.32±2.68）分，对照组（93.11±1.54）分，差异有显著性意义（p＜0.01）。结论系统化、有针对性的腰间盘突出症认知疗法护理可明显重塑患者自信及提高对疾病疼痛的适应，能够有效地提高治疗效率，提升患者满意度，是促进腰间盘突出患者康复的有效方法。
목적：연구인지요법재요추간반돌출증환자중적응용개치，이급인지요법상응적호리방법。방법수집관찰2013년2월～2014년3월요추간반돌출증환자262례，채용인지요법간예방법실시호리，여왕년진행상규호리적동류환자상호대조。비교량조환자적요간반돌출증상관지식지효솔화출원후의촉의종성。결과량조환자치료전동통평분급초필상태비교，u치위0.0742、0.4101，무통계학차이（p＞0.05），치료1 w급2 w후동통평분화초필정도비교，u치분별위2.2396、2.3901급5.2018、2.8371，차이균유통계학의의（p＜0.01），관찰조동통급초필정도완해명현우우대조조；관찰조적총유효솔위88.93％，대조조적총유효솔위86.26％，량조총체료효존재명현차이（p＜0.05）；관찰조호리만의도위（98.32±2.68）분，대조조（93.11±1.54）분，차이유현저성의의（p＜0.01）。결론계통화、유침대성적요간반돌출증인지요법호리가명현중소환자자신급제고대질병동통적괄응，능구유효지제고치료효솔，제승환자만의도，시촉진요간반돌출환자강복적유효방법。
Objective To study the application value of cognitive patterns in patients with lumbar disc herniation, and the corresponding nursing method of cognitive mode .Methods A total of 262 patients with LDH from Feb 2013 to Mar 2014 were recruited in the study.Nursing measures were provided for these patients according to the Cognitive Therapy.An-algesic effect, anti-anxiety state, clinical curative effect and patient satisfaction were compared between these patients and those received conventional care from 2011 to 2013.Results Observation group patients suffered significantly lighter pain and anxiety degree than controlled group patients(p<0.05) after treatment, and the satisfaction rate of observation group pa-tients was obviously higher than that of controlled group patients(p<0.05).The total curative effect of the observation group was 88.93%, the matched group was 86.26%, and their difference was conspicuous(p<0.05).Conclusion Systematic, targeted cognitive model care of lumbar disc herniation, can significantly help patients rebuild their self-confidence, can ef-fectively improve the treatment efficiency and improve the nursing quality and the patient satisfaction rate , and is an effective method to promote patients with protrusion of lumbar intervertebral disc to rehabilitate .