情绪-认知-行为干预联合配偶同步健康教育对乳腺癌患者术后负性情绪的影响

目的探讨情绪-认知-行为干预联合配偶同步健康教育对乳腺癌患者术后负性情绪的影响.方法将90例乳腺癌患者按入院建挡顺序分为观察组与对照组,每组45例,对照组采用常规围手术期护理干预,观察组在此基础上予以情绪-认知-行为干预联合配偶同步健康教育,连续干预至术后出院.干预前后采用汉密顿焦虑量表、汉密顿抑郁量表评定焦虑及抑郁情绪,自我感受负担量表评定自我感受负担,干预后采用自制治疗依从性量表评定治疗依从性,自制配偶照护积极性量表评定配偶照护积极性,纽卡斯尔护理服务满意度量表评定护理满意度.结果干预后两组汉密顿焦虑量表、汉密顿抑郁量表、自我感受负担量表评分较干预前显著下降(P<0.01),观察组评分均显著低于对照组(P<0.01);观察组治疗依从率(95.6%)、配偶照护积极性(93.3%)、护理满意度(97.8%)均显著高于对照组(75.6%、73.3%、77.8%),差异均有统计学意义(P<0.05或0.01).结论情绪-认知-行为干预联合配偶同步健康教育,能有效改善乳腺癌手术患者的焦虑抑郁情绪,减轻自我感受负担,提高治疗依从性、配偶照护积极性及护理满意度.

Application value of emotion-cognition-behavior intervention combined with spouse synchronous health education in breast cancer patients during perioperative period

Objective To explore the application value of emotion-cognition-behavior intervention combined with spouse synchronous health education in breast cancer patients during perioperative period.Methods 90 patients with breast cancer admitted to our hospitalwere divided into observation group and control group according to the order of hospital admissions,45 patients each.The control group was treated with routine perioperative nursing intervention.On this basis,the observation group was given emotion-cognition-behavior intervention combined with spouse synchronous health education.Both groups were continuously intervened until discharge.Before and after the intervention,the Hamilton Anxiety Scale and the Hamilton Depression Scale were used to assess the degree of anxiety and depression.SPBS was used to assess the self-perceived burden.After the intervention,self-made treatment compliance scale was used to assess treatment compliance.Self-made spouse care motivation scale was used to evaluate spouse care motivation.NSNS was used to evaluate nursing satisfaction.Results After the intervention,the HAMD,HAMA and SPBS scores in the two groups were significantly lower than those before the intervention(P<0.01),and the scores in the observation group were significantly lower than those in the control group(P<0.01).The treatment compliance rate(95.6%),spouse care enthusiasm(93.3%),and nursing satisfaction(97.8%)in the observation group were significantly higher than those in the control group(75.6%,73.3%,77.8%),and the differences were statistically significant(P