Study On The Application Of Cognitive-behavioral Therapy In ICU Patients With Severe Acute Pancreatitis

Objective: This study used Cognitive-Behavior Therapy(CBT)to intervene patients with Severe Acute Pancreatitis(SAP)in Intensive Care Unit(ICU)and observed its effect.Provide theoretical basis for clinical nursing practice.Method:70 patients with severe Acute Pancreatitis who were hospitalized in the ICU of our hospital from January 2019 to December 2019 were consecutively selected.According to whether Becker's cognitive therapy was given,it was divided into 34 patients in the experimental group and 36 patients in the control group.The general condition of the patients was investigated,and the anxiety,depression level,pain level and quality of life of the patients were evaluated with Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD),pain Visual Analogue Scale(VAS),EORTC Quality of Life Questionnaire-Core 30(EORTCQOL-C30)before and after intervention.Before discharge,The Newcastle Satisfaction with Nursing Scales(NSNS)was used to evaluate patients' satisfaction with nursing,and the length of stay of ICU and the incidence of Delirium were compared between the two groups.All data was entered into an Excel table and checked by the team members.SPSS 21.0 statistical software was used for data analysis.Bilateral P <0.05 was considered statistically significant.Results:1.Comparison of baseline data between the two groups of patients: There was no statistically significant difference in age,gender,cultural background,type of medical insurance and morbidity factors between the two groups of patients(P> 0.05).2.Comparison of Hamilton Anxiety Score(HAMA)between the two groups: Hamilton anxiety score in the pre-care test group was 20.31 ± 7.81 points,and the control group Hamilton anxiety score was 20.20 ± 7.55 points,the difference was not statistically significant(P> 0.05);nursing After that,the Hamilton anxiety score of the test group was 11.08 ± 3.82 points,and the control group 's Hamilton anxiety score was 16.73 ± 2.77 points,the difference was statistically significant(P <0.05).3.Comparison of Hamilton Depression Score(HAMD)between the two groups: Hamilton Depression Score of the patients in the pre-care group was 17.48 ± 5.67 points,and the Hamilton Depression Score of the control group was 18.04 ± 5.56 points,the difference was not statistically significant(P> 0.05),with Comparability;After nursing,the Hamilton depression score of the test group was 5.78 ± 4.71 points,and the Hamilton depression score of the control group was 11.19 ± 4.17 points,the difference was statistically significant(P <0.05).4.The incidence of Delirium in the two groups of patients: 6 cases of Delirium occurred in the control group,the incidence rate was 18%;2 cases of Delirium occurred in the experimental group,the incidence rate was 6%.The difference was statistically significant(P <0.05).5.Comparison of ICU hospital stay between the two groups: the average ICU hospital stay of the test group was 11.65 ± 0.33 days;the average ICU hospital stay of the control group was 15.62 ± 0.31 days,the difference was statistically significant(P <0.05).6.Comparison of Pain Scores(VAS)between the two groups: the pain score of the patients in the pre-care test group was 7.30 ± 1.51 points,and the pain score of the control group was 7.42 ± 1.62 points,the difference was not statistically significant(P> 0.05);the post-care test The pain score of the group was 2.27 ± 1.21 points,and the pain score of the control group was 4.50 ± 1.23 points,the difference was statistically significant(P <0.05).7.Comparison of The Quality of Life Scores(EORTCQOL-C30)of the two groups of patients: the scores of the quality of life of the patients in the pre-care test group were not statistically different from those of the control group(P> 0.05);the quality of life of the test group after nursing Compared with the control group,the field score was statistically significant(P <0.05).8.Comparison of the scores of the Newcastle Nursing Service Satisfaction Scale(NSNS)between the two groups: the satisfaction score of the test group was 83.43 ± 6.34 points;the satisfaction score of the control group was 67.89 ± 7.55 points,the difference was statistically significant(P <0.05).Conclusion: Baker Cognitive Therapy can significantly reduce the anxiety / depression and pain levels of patients with severe pancreatitis in ICU,reduce the incidence of Delirium,shorten the length of hospital stay and improve the quality of life of patients.