CAJ | 학술논문

目的探讨认知行为疗法在ICU非机械通气治疗的患者焦虑管理中的应用效果。方法选取2014年9月至12月医院ICU收治的非机械通气治疗的患者168例，随机分为对照组（n=84）和观察组（n=84），两组均实施常规ICU护理，观察组在此基础上应用认知行为疗法干预，比较两组患者焦虑严重程度和持续时间。结果（1）干预后3天，两组患者焦虑水平均较前降低，观察组与对照组患者焦虑水平比较差异无统计学意义（13.14±4.11分，14.56±3.59分，t=1.45，P=0.148）；（2）出院时或转科时，观察组患者焦虑水平明显低于对照组患者（9.65±2.45分，13.48±3.97分。t=3.056，P=0.003），比较差异有统计学意义；（3）观察组患者焦虑持续时间较对照组短（2.19±1.02天，4.26±1.41天，t=2.44，P=0.016），比较差异有统计学意义。结论认知行为疗法能够有效降低ICU非机械通气治疗患者焦虑水平和缩短其焦虑持续时间。
목적탐토인지행위요법재ICU비궤계통기치료적환자초필관리중적응용효과。방법선취2014년9월지12월의원ICU수치적비궤계통기치료적환자168례，수궤분위대조조（n=84）화관찰조（n=84），량조균실시상규ICU호리，관찰조재차기출상응용인지행위요법간예，비교량조환자초필엄중정도화지속시간。결과（1）간예후3천，량조환자초필수평균교전강저，관찰조여대조조환자초필수평비교차이무통계학의의（13.14±4.11분，14.56±3.59분，t=1.45，P=0.148）；（2）출원시혹전과시，관찰조환자초필수평명현저우대조조환자（9.65±2.45분，13.48±3.97분。t=3.056，P=0.003），비교차이유통계학의의；（3）관찰조환자초필지속시간교대조조단（2.19±1.02천，4.26±1.41천，t=2.44，P=0.016），비교차이유통계학의의。결론인지행위요법능구유효강저ICU비궤계통기치료환자초필수평화축단기초필지속시간。
Objective To study the effect of cognitive behavioral therapy in anxiety management on ICU patients without mechanical ventilation. Methods 168 ICU patients without mechanical ventilation admitted from September to December in 2014 were randomly divided into control group (n = 84) and observation group (n=84). Routine ICU care were implemented in both groups. Cognitive behavioral therapy intervention was added in observation group. Compared the anxiety severity and duration between two groups.Results (1) Three days after the intervention, the anxiety level of both groups was lower than before and there was no significant difference between two groups (13.14± 4.11, 14.56± 3.59, t=1.45, P=0.148). (2) The anxiety level of observation group in discharge or transfer was lower than that of control group with statistical difference (9.65±2.45, 13.48±3.97. t=3.056, P=0.003). (3) Anxiety duration of observation group was shorter than that of control group (2.19± 1.02d, 4.26± 1.41d, t = 2.44, P= 0.016).Conclusion Cognitive behavioral therapy can effectively reduce the anxiety level and duration of ICU patients without mechanical ventilation.