认知行为干预对局部晚期宫颈癌患者心理状况和生活质量的影响
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摘要
目的探讨认知行为干预对局部晚期宫颈癌患者心理状况和生活质量的影响。方法选取2013年1月至2016年1月间宝鸡市中医医院收治的60例局部晚期宫颈癌患者,采用随机数字表法分为观察组和常规组,每组30例。观察组患者在常规护理基础上采用认知行为干预,常规组患者采用常规护理,比较两组患者的心理状况和生活质量。结果干预后,观察组患者焦虑自评量表评分为(47. 3±3. 1)分,低于常规组的(58. 5±3. 5)分;观察组患者抑郁自评量表评分为(46. 6±3. 6)分,低于常规组的(57. 5±3. 8)分,两组比较,差异均有统计学意义(均P <0. 05)。干预后,观察组患者生活质量评分为(85. 4±3. 9)分,高于常规组的(69. 2±5. 6)分,差异有统计学意义(P <0. 05)。结论认知行为干预在局部晚期宫颈癌患者临床护理中可明显改善患者的心理状况和生活质量,值得推广。
Objective To explore the effect of cognitive behavioral intervention on the psychological status and quality of life in patients with locally advanced cervical cancer. Methods Sixty patients with locally advanced cervical cancer treated at Baoji Hospital of Traditional Chinese Medicine from January 2013 to January 2016 were selected. They were divided into an observation group and a routine group with 30 patients in each group. The observation group was given cognitive behavioral intervention on the basis of routine nursing and the routine group was given conventional nursing. The psychological status and quality of life were compared between the two groups. Results The self rating anxiety scale( SAS) score was 47. 3 ±3. 1 for the observation group which was significantly lower than 58. 5 ± 3. 5 of the conventional group( all P < 0. 05). The self rating depression scale( SDS) score was 46. 6 ± 3. 6 for observation group which was significantly lower than 57. 5 ± 3. 8 of the conventional group( all P < 0. 05). Quality of life score was85. 4 ± 3. 9 for the observation group which was higher than 69. 2 ± 5. 6 of the conventional group( P <0. 05). Conclusion Cognitive behavioral intervention can significantly improve the psychological status and quality of life in patients with local advanced cervical cancer,and it is worth promoting.
Objective To explore the effect of cognitive behavioral intervention on the psychological status and quality of life in patients with locally advanced cervical cancer. Methods Sixty patients with locally advanced cervical cancer treated at Baoji Hospital of Traditional Chinese Medicine from January 2013 to January 2016 were selected. They were divided into an observation group and a routine group with 30 patients in each group. The observation group was given cognitive behavioral intervention on the basis of routine nursing and the routine group was given conventional nursing. The psychological status and quality of life were compared between the two groups. Results The self rating anxiety scale( SAS) score was 47. 3 ±3. 1 for the observation group which was significantly lower than 58. 5 ± 3. 5 of the conventional group( all P < 0. 05). The self rating depression scale( SDS) score was 46. 6 ± 3. 6 for observation group which was significantly lower than 57. 5 ± 3. 8 of the conventional group( all P < 0. 05). Quality of life score was85. 4 ± 3. 9 for the observation group which was higher than 69. 2 ± 5. 6 of the conventional group( P <0. 05). Conclusion Cognitive behavioral intervention can significantly improve the psychological status and quality of life in patients with local advanced cervical cancer,and it is worth promoting.
引文
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[3]郑夏玲.早期宫颈癌术后4C延续性护理干预对患者心理状况及生活质量的影响[J].检验医学与临床,2016,13:3500-3503.
[4]余丽,罗红莲,蒋映.化疗间歇期随访路径表对年轻宫颈癌患者心理状态及生活质量的影响[J].广西医科大学学报,2016,33:563-566.
[5]陈二玲,郑建敏,黄一华.医护一体化工作模式在年轻宫颈癌患者术后预防尿潴留的应用[J].广西医科大学学报,2016,33:1080-61081.
[6]邹倩,陈中群,张莉,等.心理护理联合疼痛护理对改善宫颈癌患者围手术期睡眠质量的观察研究[J].中国实用护理杂志,2015,31:5-6.
[7]张艳萍,贺海霞,文希,等.心智觉知干预模式对宫颈癌化疗间歇期患者睡眠质量和心理状态的影响[J].中国医药导报,2017,14:144-147.
[8]黄艳,张梅,朱洁,等.人文关怀护理模式对宫颈癌手术患者的心理状态、康复情况的疗效[J].国际精神病学杂志,2017,28:165-168.
[9]黄海桃,陈珊娜,朱薪,等.心理护理对宫颈癌术后放疗患者癌因性疲乏的干预效果[J].中国肿瘤临床与康复,2016,23:632-634.
[10]王亚娥.认知行为干预对宫颈癌术后患者生活质量的影响[J].齐鲁护理杂志,2012,18:23-24.