| Objective:1.Investigate the anxiety status of orthopedic surgery patients before surgery,and analyze the related influencing factors of anxiety,so as to facilitate the development of computer-aided cognitive treatment methods for orthopedic surgery anxiety patients2.Combine computer software to construct a set of psychological intervention models suitable for orthopedic surgery anxiety patients and explore its effectiveness;3.To explore and evaluate the effects of computer-aided cognitive behavioral therapy on anxiety,sleep and pain in patients with orthopedic trauma,and to facilitate its promotion.Methods:1.From February to July 2019,the literature search method was used to determine the content to be investigated.A convenient sampling method was used to select 252 orthopedic inpatients undergoing surgery in a tertiary hospital in Shanxi Province for cross-sectional survey and general data survey.Questionnaire,State Anxiety Scale(SAI),Self-Rating Anxiety Scale(SAS),Ascension Insomnia Scale(AIS),and Visual Simulated Pain Scale(VAS).Linear regression analysis explored the preoperative anxiety status of orthopedic surgery patients and its related influencing factors,and finally determined the specific intervention plan of computer-aided cognitive behavioral therapy for orthopedic surgery anxiety patients through expert group discussion.2.The purpose sampling method was used to select patients who received elective trauma surgery in the orthopedics department of the First Hospital of Shanxi Medical University from February 2019 to September 2019.According to the time of admission,they were divided into observation group and control group,40 cases each.The control group was given the required professional psychological care plan,and the observation group was assisted by 5 computerized cognitive behavioral treatments on this basis.Before and after the intervention,the anxiety self-rating scale(SAS)and the Ascension Insomnia Scale(AIS)and visual analogue scale(VAS)were used to evaluate the anxiety,sleep and pain of the two groups of patients before and after treatment.The effect of the intervention program was evaluated by t test and X2 test(P <0.05 was considered statistically significant).Results:1.Preoperative questionnaire survey results for orthopedic surgery patients:(1)The preoperative state anxiety score of 252 orthopedic patients was(44.724 ± 6.988)points,and the anxiety self-rating scale score was(40.611 ± 5.688)points.Compared with model,the scores of state anxiety and self-rating anxiety scale were both high,and the difference was statistically significant(P <0.05).(2)t test or one-way analysis of variance,the results found that the existence of surgery history,different cultural levels,different types of diseases,different occupations,sleep pain,and awareness of the disease were different in the state anxiety score,anxiety self-assessment scale The scores differed in gender,age,culture,type of disease,occupation,place of residence,type of health insurance,history of surgery,sleep pain,and awareness of the disease;the differences were statistically significant(P <0.05).(3)The score of the Ascension Insomnia Scale before orthopedic surgery was(6.091 ± 1.685);the visual analogue score of pain was(5.464 ± 1.992).There was a positive correlation between the total scores of the Ascension Insomnia Scale and the Pain Visual Analogue Scale,and the total scores of the State Anxiety Score and the Anxiety Self-Rating Scale(P <0.05).The correlationcoefficients were(r = 0.745,r = 0.666,r = 0.469,r = 0.491).(4)Multiple stepwise linear regression analysis showed that sleep,pain,history of surgery,and understanding of the disease were the main influencing factors for patients with anxiety in orthopedic surgery.2.Comparison of the intervention effects of anxiety patients with traumatic orthopedic surgery in the two groups: baseline data in the control group and the observation group are comparable.Comparison between the two groups before and after the intervention found that:(1)Anxiety comparison: the anxiety score of the observation group patients one day before discharge The anxiety score of the patients in the control group was lower than that in the control group;(2)Comparison of sleep and pain: the pain score of the patients in the observation group was lower than that of the control group in the two days after the operation.The patient’s sleep score was lower than the control group’s sleep score;(3)Homework answers: The correct rate of homework answers in the observation group on the day before discharge was higher than that of the control group.By comparing the above three aspects,the differences between the two groups were statistically significant(P <0.05).Conclusion:1.The preoperative anxiety of patients in orthopedic surgery is at a high level.The anxiety scale and state anxiety scale are used.The patient’s anxiety level is evaluated on the day before surgery.Based on the results of the preoperative anxiety assessment of orthopedic patients,orthopedics The degree of anxiety of the patient prompts the medical staff to pay attention to the prevention and psychological aspects of the admitted patients,so as to ensure the smooth progress of the rehabilitation process of surgery and anesthesia and improve the patient’s medical experience.2.The anxiety level of orthopedic patients is positively correlated with their sleep and pain levels,which indicates that the more severe the pain and sleep of orthopedic patients,the higher the anxiety level of the patients.Improving the patient’s sleep and pain conditions can improve the patient’s anxiety status.The main influencing factors ofpatients ’preoperative anxiety levels are: the patient’s history of surgery and the degree of understanding of the disease,etc.,suggesting that medical staff should strengthen the health education and publicity of patients’ diseases and increase the Pay attention to strength.3.Through a preliminary review of relevant literature,current situation surveys,and expert group meetings,a computer-assisted cognitive-behavioral therapy treatment plan was finally determined,and then intervention was performed on patients with orthopedic trauma and anxiety.The results show that the program can effectively improve their patients’ anxiety,Sleep and pain conditions,and the effect is better than the conventional care group.In summary,this program is feasible and effective.Medical staff can use this program to improve patients’ anxiety levels,sleep and pain conditions,and can be extended to other surgical procedures.Patients,improve the patient’s medical experience. |
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