认知行为干预对食管癌患者术后疲劳综合征的影响
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摘要
目的:探讨认知行为干预对食管癌患者术后疲劳综合征的效果。方法:选择食管癌根治术后患者80例,按入院顺序分为对照组与观察组各40例。对照组给予常规护理,观察组在常规护理的基础上实施认知行为干预,比较两组患者术后疲劳情况。结果:观察组不同时期的术后疲劳评分、心境评分均低于对照组(P<0.05);观察组的术后康复情况也优于对照组(P<0.05);两组患者的术后并发症情况并无明显差异(P>0.05)。结论:认知行为干预可以改善食管癌患者的术后疲劳综合征,对于患者术后心境和术后康复有一定的积极作用。
Objective: To explore the effects of cognitive behavior therapy on postoperative fatigue syndrome of patients with esophageal cancer. Methods: All of 80 patients were divided into control group(n=40) and experimental group(n=40).The control group received usual care, while experimental group received cognitive behavior therapy on the basic of usual care. The effects of two groups nursing methods on the postoperative fatigue syndrome of patients were evaluated. Results:Compared with control group, the fatigue scale and mood states were lower after surgery, while the condition of postoperative rehabilitation was better(P <0.05). There was no significant difference of postoperative complications between two groups(P>0.05).Conclusion: The cognitive behavior therapy not only helps to improve the postoperative fatigue syndrome,but also is in favor of mood state and rehabilitation for patients with esophageal cancer obviously.
Objective: To explore the effects of cognitive behavior therapy on postoperative fatigue syndrome of patients with esophageal cancer. Methods: All of 80 patients were divided into control group(n=40) and experimental group(n=40).The control group received usual care, while experimental group received cognitive behavior therapy on the basic of usual care. The effects of two groups nursing methods on the postoperative fatigue syndrome of patients were evaluated. Results:Compared with control group, the fatigue scale and mood states were lower after surgery, while the condition of postoperative rehabilitation was better(P <0.05). There was no significant difference of postoperative complications between two groups(P>0.05).Conclusion: The cognitive behavior therapy not only helps to improve the postoperative fatigue syndrome,but also is in favor of mood state and rehabilitation for patients with esophageal cancer obviously.
引文
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[12]焦丽.食管癌患者术后疲劳综合征影响因素分析[D].济南:山东大学,2013.
[13]李爱霞.大肠癌术后疲劳相关因素的研究[D].广州:广州中医药大学,2009.
[14]潘秀娜.妇科腹式手术后疲劳影响因素的研究[D].广州:广州中医药大学,2011.
[15]栾琳琳,殷静静,段红香,等.个体化心理干预对食管癌患者术后疲劳综合征的影响[J].护理学杂志,2013,28(2):86-89.
[16]刘五妮,张莉,刘新亚.胸腹部手术病人的心理及认知行为干预效果观察[J].全科护理,2011,9(13):1163-1164.
[17]Pritchard MJ.Managing anxiety in the elective surgical patient[J].Br J Nurs,2009,18(7):416-419.
[18]关花梅,李伟,范少芳.胸腹腔镜联合食管癌切除术后声音嘶哑的护理策略[J].当代医学,2016,22(8):101-102.
[19]杨立伟,何明,陈龙奇,等.食管癌术中胸导管预防结扎连续1031例乳糜胸手术经验[J].中国肿瘤临床,2011,33(11):636-637.
[2]赵珺,王小平,许宏,等.全程营养支持在食管癌术后疲劳综合征营养管理中的应用效果分析[J].中国医药导报,2015,12(26):82-85.
[3]郭艳,宋宁,梁志兵.腹腔镜与开腹手术的直肠癌患者术后疲劳综合征及免疫状态的比较[J].河北医药,2014,36(23):3586-3588.
[4]Zargar-Shoshtari K,Hill AG.Postoperative fatigue:a review[J].World J Surg,2009,33(4):738-745.
[5]Rubin G J,Cleare A,Hotopf M.Psychological Factors in Postoperative Fatigue[J].Psychosom Med,2004,66(6):959-964.
[6]张蓉.认知行为疗法对广泛性焦虑障碍的疗效研究[J].中国全科医学,2014,17(7):832-834.
[7]庄聪颖.老年髋部骨折患者术后疲劳影响因素的探究[D].广州中医药大学,2013.
[8]Ai AL,Peterson C,Tice TN,et al.Differential effects of faithbased coping on physical and mental fatigue in middle-aged and older cardiac patients[J].Int J Psychiatry Med,2006,36(3):351-365.
[9]McNair DM,Loor M,Droppleman LF.EdITS manual for the profile of Mood states[M].San Diego:CA:EdITS Educational&Industrial Testing Service,1992.
[10]迟松,林文娟.简明心境量表(POMS)的初步修订[J].中国心理卫生杂志,2003,17(11):768-770.
[11]Schwartz JE,Jandorf L,Krupp LB.The measurement of fatigue:a new instrument[J].J Psychosom Res,1993,37(7):753-762.
[12]焦丽.食管癌患者术后疲劳综合征影响因素分析[D].济南:山东大学,2013.
[13]李爱霞.大肠癌术后疲劳相关因素的研究[D].广州:广州中医药大学,2009.
[14]潘秀娜.妇科腹式手术后疲劳影响因素的研究[D].广州:广州中医药大学,2011.
[15]栾琳琳,殷静静,段红香,等.个体化心理干预对食管癌患者术后疲劳综合征的影响[J].护理学杂志,2013,28(2):86-89.
[16]刘五妮,张莉,刘新亚.胸腹部手术病人的心理及认知行为干预效果观察[J].全科护理,2011,9(13):1163-1164.
[17]Pritchard MJ.Managing anxiety in the elective surgical patient[J].Br J Nurs,2009,18(7):416-419.
[18]关花梅,李伟,范少芳.胸腹腔镜联合食管癌切除术后声音嘶哑的护理策略[J].当代医学,2016,22(8):101-102.
[19]杨立伟,何明,陈龙奇,等.食管癌术中胸导管预防结扎连续1031例乳糜胸手术经验[J].中国肿瘤临床,2011,33(11):636-637.