The clinical effect of multidimensional cognitive-behavioral nursing model in the perioperative period of radical nephrectomy for renal cancer and the influence of anxiety emotions
多维度认知行为护理模式在肾癌根治术围术期中的临床效果及焦虑情绪的影响

摘要

目的 探讨在肾癌根治术围术期实施多维度认知行为护理模式的临床价值。方法 纳入行肾癌根治术的患者48例为研究对象，选取时间为2024年1月至2025年6月。以单盲法将患者分为对照组（n=24，给予常规围术期护理）和观察组（n=24，给予多维度认知行为护理），每组24例。比较两组的临床恢复指标及焦虑情绪评分。结果 观察组术后排气时间为（28.45±4.12）h，术后首次下床活动时间为（24.26±4.16）h，住院天数为（7.23±1.05）d，均短于对照组（P＜0.05）。护理后观察组焦虑自评量表（SAS）评分为（35.67±3.21）分，显著低于对照组（P＜0.05）。结论 在肾癌根治术围术期实施多维度认知行为护理模式，能够缓解患者的焦虑情绪，缩短术后恢复的时间，值得推广。

Abstract

Objective To explore the clinical value of implementing a multidimensional cognitive behavioral nursing model during the perioperative period of radical nephrectomy.
Methods A total of 48 patients undergoing radical nephrectomy were enrolled as the study subjects from January 2024 to June 2025. Using a single-blind method, the patients were divided into a control group (n=24, receiving conventional perioperative care) and an observation group (n=24, receiving multidimensional cognitive behavioral nursing), with 24 cases in each group. The clinical recovery indicators and anxiety scores of the two groups were compared.
Results The observation group had postoperative flatus time of (28.45±4.12) hours, first ambulation time of (24.26±4.16) hours, and hospital stay of (7.23±1.05) days, all shorter than those of the control group (P<0.05). After nursing, the Self-Rating Anxiety Scale (SAS) score of the observation group was (35.67±3.21) points, significantly lower than that of the control group (P<0.05).
Conclusion   Implementing a multidimensional cognitive behavioral nursing model during the perioperative period of radical nephrectomy can alleviate patients' anxiety, shorten postoperative recovery time, and is worthy of promotion.