认知行为干预在脑卒中便秘患者中的应用

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Abstract Objective To explore the effect of cognitive behavior intervention in patients with stroke and constipation. Methods Sixty patients with stroke and constipation who were hospitalized in the Department of Neurosurgery of Peking Union Medical College Hospital from January 2018 to December 2019 were selected as the research objects. The study subjects were randomly divided into two groups according to the order of hospitalization, with 30 cases in each group. The control group was given conventional treatment and nursing for constipation, and the experimental group was given cognitive behavioral intervention on the basis of conventional treatment and nursing for constipation. The improvement of constipation symptoms in the two groups of stroke patients with constipation before intervention and after 7 and 14 d of intervention were compared. Results The differences in the time, inter-group, and interaction of stroke patients between the two groups were highly statistically significant (P ＜ 0.01). Further pairwise comparison, intra-group comparison: the constipation score of stroke patients after intervention for 7, 14 d were lower than that before intervention, and the differences were statistically significant (P ＜ 0.05); comparison between groups: after 7, 14 d of the intervention, the constipation score of stroke patients in the experimental group was lower than the control group, and the difference was statistically significant (P ＜ 0.05). The effective rate of the experimental group was significantly higher than that of the control group, and the difference was statistically significant (P ＜ 0.05). The differences in the time, inter-group, and interaction of stroke patients between the two groups were highly statistically significant (P ＜ 0.01). Further pairwise comparison, intra-group comparison: the Barthel index (BI) score of stroke patients after 7 and 14 d of intervention were higher than those before intervention, and the differences were statistically significant (P ＜ 0.05); comparison between groups: after 7, 14 d of the interventional, the BI score of stroke patients in the experimental group was higher than the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion Cognitive behavioral intervention can improve the symptoms of constipation in stroke patients, improve its clinical effects, and further improve the quality of life of patients.

Key words： Cognitive behavior intervention Stroke Constipation

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	CONG Nan1 ZHANG Yi1 GUO Chuang2

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CONG Nan1 ZHANG Yi1 GUO Chuang2. Application of cognitive behavioral intervention in stroke patients with constipation[J]. 中国医药导报, 2020, 17(34): 189-192.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I34/189

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