分阶段认知行为干预在非小细胞肺癌化疗患者中的应用效果
Application effect of staged cognitive behavioral intervention in chemotherapy patients with non-small cell lung cancer
张丹 1李红杰 1赵勇 1罗珊珊1
作者信息
- 1. 郑州大学附属肿瘤医院(河南省肿瘤医院)呼吸内科二病区,郑州 450000
- 折叠
摘要
目的 探讨分阶段认知行为干预在非小细胞肺癌化疗患者中的应用效果.方法 依据干预方式的不同将100例非小细胞肺癌化疗患者分为对照组(n=42)和观察组(n=58),对照组患者给予常规干预,观察组患者在此基础上给予分阶段认知行为干预.比较两组患者的心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]、遵医行为、满意度、不良反应发生情况和住院时间.结果 干预后,两组患者SDS、SAS评分均低于本组干预前,EORTC QLQ-C30量表各维度评分均高于本组干预前,观察组患者SDS、SAS评分均低于对照组,EORTC QLQ-C30量表各维度评分均高于对照组,差异均有统计学意义(P﹤0.05).观察组患者的遵医率为100%,明显高于对照组患者的80.95%(P﹤0.01),满意度为100%,明显高于对照组患者的83.33%(P﹤0.01),不良反应总发生率为8.62%,明显低于对照组患者的35.71%(P﹤0.01).观察组患者的住院时间为(24.13±2.04)天,明显短于对照组患者的(28.25±2.32)天,差异有统计学意义(P﹤0.01).结论 非小细胞肺癌化疗患者应用分阶段认知行为干预,能够提高遵医行为、满意度及生活质量,改善患者的不良心理状态.
Abstract
Objective To explore the application effect of staged cognitive behavioral intervention in chemotherapy patients with non-small cell lung cancer.Method According to different intervention methods,100 non-small cell lung cancer chemotherapy patients were divided into control group(n=42)and observation group(n=58).The control group re-ceived routine intervention,while the observation group received staged cognitive behavioral intervention based on the control group.The psychological states[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)],compliance behavior,satisfaction,incidence of adverse reactions,and time of hospital stay were compared be-tween the two groups.Result After the intervention,the SDS and SAS scores of the both groups were lower than those before intervention,and the scores of all dimensions of the EORTC QLQ-C30 scale were higher than those before inter-vention,the SDS and SAS scores of the observation group were lower than those of the control group,and the scores of all dimensions of the EORTC QLQ-C30 scale were higher than those of the control group,and the differences were statis-tically significant(P<0.05).The compliance rate in the observation group was 100%,which was significantly higher than 80.95%in the control group(P<0.01),the satisfaction was 100%,which was significantly higher than 83.33%in the con-trol group(P<0.01),and the total incidence of adverse reactions was 8.62%,which was significantly lower than 35.71%in the control group(P<0.01).The hospitalization time of the observation group patients was(24.13±2.04)days,which was significantly shorter than(28.25±2.32)days of the control group,and the difference was statistically significant(P<0.01).Conclusion The application of staged cognitive behavioral intervention in chemotherapy for non-small cell lung cancer patients can improve compliance,satisfaction,and quality of life,as well as improve their negative psychological state.
关键词
非小细胞肺癌/分阶段认知行为干预/心理状态/生活质量Key words
non-small cell lung cancer/staged cognitive behavioral intervention/psychological state/quality of life引用本文复制引用
出版年
2024
NETL
NSTL
维普
万方数据