摘要
目的 探讨认知行为干预对胃癌化疗患者自我感受负担及生活质量的影响。 方法 采用便利抽样法选取2018年1—6月在商丘市第一人民医院住院治疗的胃癌患者80例为研究对象,按照随机数字表法分为试验组和对照组,各40例。对照组采用常规护理,试验组在常规护理基础上,在患者化疗期间及出院随访期间进行认知行为干预。干预前后分别采用自我感受负担量表(SPBS)及健康状况调查简表(SF-36)比较两组患者自我感受负担和生活质量的情况。 结果 干预前,两组自我感受负担评分及生活质量评分差异无统计学意义(P>0.05),干预后,试验组患者自我感受负担评分[(28.11±6.17)分]低于对照组,生活质量评分[(60.02±10.18)分]高于对照组,差异均具有统计学意义(t值分别为-2.460、2.328;P<0.05)。 结论 认知行为干预能够有效地减轻胃癌化疗患者自我感受负担,提高其生活质量,值得临床推广。
Objective To explore the effects of cognitive behavioral therapy on self-perceived burden and quality of life among gastric cancer patients with chemotherapy. Methods From January 2018 to June 2018, we selected 80 gastric cancer inpatients of the First People's Hospital of Shangqiu as subjects by convenience sampling. All of the patients were divided into experimental group and control group with the random number table, 40 cases in each group. Control group received routine nursing. On this basis of routine nursing, experimental group carried out cognitive behavioral therapy during chemotherapy and follow-up after discharge. The Self-Perceived Burden Scale (SPBS) and the 36-item Short Form Health Survey (SF-36) were used to compare patients' self-perceived burden and quality of life respectively before and after intervention.Results Before intervention, there was no statistical difference in the scores of self-perceived burden and quality of life (P>0.05) . After intervention, the score of self-perceived burden (28.11±6.17) of patients in experimental group was lower than that in control group, and the score of quality of life (60.02±10.18) was higher than that in control group with statistical differences (t=-2.460, 2.328;P<0.05) .Conclusions Cognitive behavioral therapy can effectively reduce self-perceived burden and improve the quality of life among gastric cancer patients with chemotherapy which is worth to be spread in clinic.
作者
李敏
Li Min(Department of Gastroenterology,the First People's Hospital of Shangqiu ,He'nan Province,Shangqiu 476100,China)
出处
《中华现代护理杂志》
2018年第35期4272-4275,共4页
Chinese Journal of Modern Nursing
关键词
胃肿瘤
化疗
认知行为干预
自我感受负担
生活质量
Stomach neoplasms
Chemotherapy
Cognitive behavioral therapy
Self-perceived burden
Quality of life
