阶段性认知行为干预对支气管肺癌化疗患者生存质量及心理状态的影响

目的 对支气管肺癌化疗患者进行阶段性认知行为干预,观察其临床效果。 方法 选择2017年8月—2018年12月亳州市人民医院肿瘤内科支气管肺癌化疗患者72例,采用随机数字表法将患者随机分为常规护理组(routine nursing,RN组)及阶段性认知行为干预组(cognitive behavioral intervention,CBI组),每组36例。RN组给以常规化疗护理,CBI组在常规化疗护理基础上再通过认知矫正、行为疗法、巩固练习3个阶段对患者进行认知行为干预。2组患者分别在入院时和出院时对其生存质量及心理状态进行评价并比较。 结果 干预后,CBI组简化生活质量测定量表(SF-36)的心理状况、生理能力、环境适应能力和社会能力4个方面评分显著优于RN组(分别为:48.53±2.34 vs. 45.69±2.18,46.89±2.81 vs. 42.15±2.26, 44.65±2.45 vs. 41.23±2.56, 58.65±2.44 vs. 54.35±2.64,均P<0.01);干预后,CBI组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均显著下降(分别为:58.79±5.66 vs. 39.05±4.11,61.76±4.87 vs. 38.03±4.05,均P<0.01)。 结论 支气管肺癌化疗患者应用阶段性认知行为干预后,生存质量显著提高,焦虑抑郁心理状态显著改善。 

Effects of staged cognitive behavioral intervention on the quality of life and psychological state of patients with bronchogenic carcinoma undergoing chemotherapy

Objective To explore the effect of staged cognitive behavioral intervention on patients with bronchogenic carcinoma undergoing chemotherapy. Methods A total of 72 patients with bronchogenic carcinoma treated by chemotherapy at the Medical Oncology of Bozhou City People's Hospital from August 2017 to December 2018 were randomly divided into group routine nursing(Group RN, 36 cases) and group cognitive behavioral intervention(Group CBI, 36 cases).Both RN group and CBI group were given routine nursing of chemotherapy. On this basis, the CBI group were received cognitive behavioral intervention through three stages: cognitive correction, behavior therapy and consolidation exercise. The quality of life and psychological status of patients in two groups were evaluated and compared at the time of admission and discharge. Results After intervention, SF-36 in CBI group got better scores in the psychological states, physiological ability, adaptive capacity to environment and social capacity than those in RN group(48.53±2.34 vs. 45.69±2.18,46.89±2.81 vs. 42.15±2.26, 44.65±2.45 vs. 41.23±2.56, 58.65±2.44 vs. 54.35±2.64, respectively, all P<0.01),and the scores of SAS and SDS in CBI group decreased significantly after intervention(58.79±5.66 vs. 39.05±4.11, 61.76±4.87 vs. 38.03±4.05, respectively, all P<0.01). Conclusion After the staged cognitive behavioral intervention applying to patients with bronchogenic carcinoma undergoing chemotherapy, the quality of life is significantly increased and the state of anxiety and depression is improved.