摘要目的:探讨理性情绪行为疗法对胸外科术后阻塞性睡眠呼吸暂停（OSA）患者不良情绪及预后的影响。方法:采用便利抽样法选择2018年1月—2019年12月于河北北方学院附属第一医院接受胸外科手术且术后出现OSA的200例患者作为研究对象，采用随机数字表法分为对照组（ n=94）和观察组（ n=106），对照组给予常规护理，观察组在常规护理的基础上给予理性情绪行为疗法干预。比较两组患者不良情绪、呼吸睡眠状况、自我管理情况差异。 结果:干预后，观察组的不良情绪评分和呼吸睡眠状况（呼吸暂停指数、微觉醒指数、氧减指数、最长呼吸暂停时间）指标水平低于对照组，夜间最低血氧饱和度高于对照组，差异均具有统计学意义（ P<0.05）。干预后，观察组患者自我管理行为问卷中生活管理、治疗管理、知识技能管理、心理管理分数及总分均高于对照组，差异均具有统计学意义（ P<0.05）。 结论:理性情绪行为疗法能够有效缓解胸外科术后OSA患者不良情绪，改善患者呼吸睡眠状况，提高患者自我管理水平，有助于改善预后。

abstractsObjective:To explore the effects of rational-emotive behavior therapy on negative emotion and prognosis of patients with obstructive sleep apnea (OSA) after thoracic surgery.Methods:Totally 200 patients who received thoracic surgery and developed OSA after surgery in the First Affiliated Hospital of Hebei North University from January 2018 to December 2019 were selected by convenient sampling method and randomly divided into a control group ( n=94) and an observation group ( n=106) by random number table method. Patients in the control group received routine care, while patients in the observation group received rational-emotive behavior theraply on the basis of routine care. The differences in negative emotion, breathing and sleep status and self-management between the two groups of patients were compared. Results:After the intervention, the negative emotion score and breathing and sleep status (apnea index, arousal index, hypoxia index and longest apnea time) in the observation group were better than those in the control group, and the minimum blood oxygen saturation at night was higher than that in the control group. The differences were statistically significant ( P< 0.05) . After the intervention, the score of life management, treatment management, knowledge and skill management, psychological management and total score in the self-management behavior questionnaire of the observation group were higher than those of the control group, and the differences were statistically significant ( P< 0.05) . Conclusions:The rational-emotive behavior theraply can effectively alleviate the unhealthy emotions of patients with OSA after thoracic surgery, improve their breathing and sleep status, enhance their self-management levels and help improve the prognosis.