CAJ | 학술논문

目的：探讨合理情绪行为疗法在改善乳腺癌患者手术应激及护理满意度中的应用效果。方法以100例乳腺癌根治术患者为例，随机分为观察组和对照组，对照组围术期采用常规护理，观察组在对照组的基础上采用合理情绪行为疗法，比较两组的健康知识、手术应激以及护理满意度。结果观察组的健康知识得分高于对照组，进入手术室时的心率、血压低于对照组，术后1 d的焦虑、抑郁评分低于对照组，术中肌肉紧张程度小于对照组，差异有统计学意义（ P＜0．05）。观察组在健康教育、心理护理、护理结果等方面的护理满意度高于对照组，差异有统计学意义（ P＜0．05）。结论合理情绪行为疗法能够帮助乳腺癌患者建立起有关手术和疾病的良好认知，减少手术应激，提高护理满意度。
목적：탐토합리정서행위요법재개선유선암환자수술응격급호리만의도중적응용효과。방법이100례유선암근치술환자위례，수궤분위관찰조화대조조，대조조위술기채용상규호리，관찰조재대조조적기출상채용합리정서행위요법，비교량조적건강지식、수술응격이급호리만의도。결과관찰조적건강지식득분고우대조조，진입수술실시적심솔、혈압저우대조조，술후1 d적초필、억욱평분저우대조조，술중기육긴장정도소우대조조，차이유통계학의의（ P＜0．05）。관찰조재건강교육、심리호리、호리결과등방면적호리만의도고우대조조，차이유통계학의의（ P＜0．05）。결론합리정서행위요법능구방조유선암환자건립기유관수술화질병적량호인지，감소수술응격，제고호리만의도。
Objective To explore the application effect of rational emotive behavior therapy on improving operation stress and nurs -ing satisfaction of breast cancer patients .Methods A total of 100 cases of radical resection of breast cancer patients in general surgery de -partment were randomly divided into the observation group and the control group , the control group was given routine nursing in perioperation period, the observation group was given rational emotive behavior therapy based on the control group , two groups were compared with health knowledge , operation stress and nursing satisfaction .Results The health knowledge in the observation group was higher than that in the con -trol group, blood pressure, heart rate when into the operation room was less than that the control group , anxiety, depression score of 1 day af-ter operation was lower than that in the control group , intraoperative muscle tension was less than that in the control group , with statistical significance ( P<0.05 ) .Satisfaction of health education , psychological nursing , nursing effect in the observation group were higher than those in the control group , with statistical significance ( P<0.05 ) .Conclusions Rational emotive behavior therapy can help breast cancer patients to establish good operation and cognition of disease , and reduce the operation stress , improve nursing satisfaction .