The efficacy of computer-assisted cognitive behavioral therapy (cCBT) on psychobiological responses and perioperative outcomes in patients undergoing functional endoscopic sinus surgery: a randomized controlled trial
نویسندگان
چکیده
Abstract Background Functional endoscopic sinus surgery (FESS) is required to minimize bleeding maintain a clear operative field during surgery, so it important preoperative anti-anxiety and stable hemodynamics. Initial evidence suggests cognitive behavioral therapy (CBT) effective surgery-related stress speed up recovery. The study aimed evaluate the efficacy of newly developed computer-assisted CBT (cCBT) program on psychobiological responses in patients undergoing FESS. Methods Participants were allocated CCBT group (cCBT; n = 50) or UC (usual care; by random number table. State Anxiety Inventory (SAI), Patients Health Questionnaire-9 (PHQ-9), Athens Insomnia Scale (AIS), systolic blood pressure (SBP), diastolic (DBP), heart rate (HR) assessed before intervention (T1), at 1 h operation (T2), postoperative 48 (T3), 96 (T4: after completed) respectively. hormone was assayed T1 T2. duration anesthesia, post-anesthesia care unit (PACU) recorded. A satisfaction survey about nursing services completed participants discharge. Results Compared group, SAI scores T2 AIS T3 lower ( p < 0.01 0.002). positive who moderate severe anxiety (SAI score > 37) (72% vs. 88%, 0.04); cortisol levels, SBP, DBP, HR 0.019 all 0.01); anesthesia PACU shorter 0.001 showed higher scores. Conclusion cCBT an non-pharmacological adjunctive treatment for improving psychosomatic perioperative outcomes. Trial registration registered with Chinese Clinical Registry ChiCTR1900025994 ) 17 September 2019.
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ژورنال
عنوان ژورنال: Perioperative medicine
سال: 2021
ISSN: ['2616-339X', '2617-2925']
DOI: https://doi.org/10.1186/s13741-021-00195-3