CAJ | 학술논문

目的：评价认知行为疗法对减轻成人扁桃体切除术后疼痛的疗效。方法80例扁桃体切除术后患者，按照随机原则分为实验组和对照组各40例。实验组采用常规护理程序基础上进行认知行为疗法，对照组给予常规护理程序。所用患者均采用视觉模拟评分法（visalanaloge scales）对术后第1天至术后第5天的疼痛指数进行评估，每天评估2次。结果实验组和对照组患者的术后疼痛随着时间的延长逐渐减轻。实验组的疼痛指数明显低于对照组，具有显著统计学差异（p<0.01）。结论认知行为疗法在缓解成人扁桃体切除术后疼痛方面有着显著的疗效。
목적：평개인지행위요법대감경성인편도체절제술후동통적료효。방법80례편도체절제술후환자，안조수궤원칙분위실험조화대조조각40례。실험조채용상규호리정서기출상진행인지행위요법，대조조급여상규호리정서。소용환자균채용시각모의평분법（visalanaloge scales）대술후제1천지술후제5천적동통지수진행평고，매천평고2차。결과실험조화대조조환자적술후동통수착시간적연장축점감경。실험조적동통지수명현저우대조조，구유현저통계학차이（p<0.01）。결론인지행위요법재완해성인편도체절제술후동통방면유착현저적료효。
Objective:To assess the effect of cognitive-behavioral therapy on pain after tonsil ectomy for adults.Method:Eighty adults patients who underwent tonsil ectomy were randomly divided into experimental group(cognitive-behavioral therapy CBT) and control group(non-cognitive-behavioral therapy N-CBT),40 cases in each group. The patients in CBT group were given cognitive-behavioral therapy combined with routine nursing care, and the patients in N-CBT group were given routine nursing care only. Degree of postoperative pain was measured with visual analogue scales. the measurement was made twice daily for 5 days.Result: During the postoperative period,the scale value was decreasing everydayin the al patients.But the value in CBT group was less than that in N-CBT group,and the difference was statistical y significant(p<0.01).Conclusion:Cognitive-behavioral therapy can effectively release pain after tonsil ectomy for adults.