认知干预对结直肠癌患者不良情绪及应对方式的影响

目的观察认知干预对结直肠癌患者不良情绪及应对方式的影响。方法选取2014年6月~2015年11月在荆州市中心医院肛肠外科治疗的100例结直肠癌患者,根据随机数字表法将其分为对照组和观察组,每组各50例患者,其中对照组给予常规护理,观察组在常规护理基础上给予认知干预。观察两组患者干预前后焦虑抑郁、睡眠质量和应对方式的改善情况。结果两组患者干预前焦虑自评量表(SAS)和抑郁自评量表(SDS)得分差异无统计学意义(P0.05);干预后,两组患者SAS和SDS均较干预前降低,且观察组较对照组低,差异有统计学意义(P0.05)。两组患者干预前面对、回避和屈服得分差异无统计学意义;干预后,观察组的面对得分高于对照组,回避和屈服得分低于对照组,差异有统计学意义(P0.05)。干预前两组患者睡眠质量各维度得分无明显差别;干预后,睡眠质量均较干预前改善,且观察组改善更明显,差异有统计学意义(P0.05)。结论认知干预可明显改善结直肠癌患者的不良情绪和应对方式,提高患者的睡眠质量。

The effect of cognitive intervention on negative emotions and coping style in patients with colorectal cancer

Objective To observe the effect of cognitive intervention in the nursing care of patients with colorectal carcinoma. Methods One-hundred cases of colorectal cancer treated in our hospital from June 2014 to November 2015 were selected for observation according to the random number table method and were divided into a control group and an observation group, with 50 patients in each group. The control group received routine nursing care, and the observation group received cognitive intervention. We observed improvements in anxiety and depression,sleep quality and the coping styles of the two groups of patients before and after the intervention. Results The SAS and SDS scores of the two groups before the intervention showed no significant differences. After the intervention, the above indicators of the two groups were lower than before the intervention, and the observation group's scores were lower than the control group's scores (P < 0.05). Before the intervention, the confrontation, avoidance and yielding scores of the two groups were not significantly different. After the intervention, the scores of the two groups were higher than before the intervention, and the avoidance and the yielding scores were lower than before the intervention. The facing score of the observation group was higher than the control group, and the avoidance and yielding scores were lower in the observation group, with statistically significant differences (P < 0.05). Before the intervention, the various dimensions of sleep scores in the two groups were not significantly different. After the intervention, the sleep quality of the two groups improved, and the observation group improved significantly (P <0.05). Conclusion Cognitive intervention can significantly improve adverse emotions and coping styles and improve sleep quality in patients with colorectal cancer.