癌症进展2024,Vol.22Issue(22) :2549-2552.DOI:10.11877/j.issn.1672-1535.2024.22.22.29

多元化认知行为干预对胸腔镜肺癌根治术患者认知水平及心理状况的影响

Effects of multiple cognitive behavior intervention on cognitive level and psychological status of patients undergoing thoracoscopic radical resection for lung cancer

张彦涛 王虎平 王湘萍
癌症进展2024,Vol.22Issue(22) :2549-2552.DOI:10.11877/j.issn.1672-1535.2024.22.22.29

多元化认知行为干预对胸腔镜肺癌根治术患者认知水平及心理状况的影响

Effects of multiple cognitive behavior intervention on cognitive level and psychological status of patients undergoing thoracoscopic radical resection for lung cancer

张彦涛 1王虎平 1王湘萍1
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作者信息

  • 1. 平煤神马医疗集团总医院麻醉与围术期医学科,河南 平顶山 467000
  • 折叠

摘要

目的 探讨多元化认知行为干预对胸腔镜肺癌根治术患者认知水平及心理状况的影响.方法 选取120例行胸腔镜肺癌根治术的肺癌患者,根据干预方式的不同分为观察组(59例)和对照组(61例),对照组患者采取常规干预,观察组患者在对照组的基础上采取多元化认知行为干预.比较两组患者的认知水平(认知水平调查问卷)、心理状况[症状自评量表(SCL-90)]、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)]、并发症发生情况及满意度.结果 干预后,两组患者认知水平调查问卷评分均高于本组干预前,SCL-90评分均低于本组干预前,观察组患者认知水平调查问卷评分高于对照组,SCL-90评分低于对照组,差异均有统计学意义(P﹤0.05).干预后,两组患者症状领域评分均低于本组干预前,总体健康状况/生命质量领域、功能领域评分均高于本组干预前,观察组患者症状领域评分低于对照组,总体健康状况/生命质量领域、功能领域评分均高于对照组,差异均有统计学意义(P﹤0.05).观察组患者的并发症总发生率低于对照组,总满意度高于对照组,差异均有统计学意义(P﹤0.05).结论 多元化认知行为干预可改善胸腔镜肺癌根治术患者的认知水平、心理状况及生活质量,提高满意度,降低并发症发生率.

Abstract

Objective To investigate the effects of multiple cognitive behavior intervention on cognitive level and psychological status of patients undergoing thoracoscopic radical resection for lung cancer.Method A total of 120 pa-tients with lung cancer who underwent thoracoscopic radical resection for lung cancer were selected and divided into ob-servation group(59 cases)and control group(61 cases)according to different intervention methods.The control group re-ceived routine intervention,and the observation group received multiple cognitive behavior intervention on the basis of the control group.The cognitive level(questionnaire of cognitive level),psychological status[symptom checklist 90(SCL-90)],quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)],incidence of complications and satisfaction were compared between the two groups.Result Af-ter intervention,the scores of questionnaire of cognitive level in two groups were higher than those before intervention,the scores of SCL-90 were lower than those before intervention,the score of questionnaire of cognitive level in observa-tion group was higher than that in control group,the score of SCL-90 was lower than that in control group,and the differ-ences were statistically significant(P<0.05).After intervention,the scores of symptom field in two groups were lower than those before intervention,the scores of overall health status/quality of life field and functional field were higher than those before intervention,the score of symptom field in observation group was lower than that in control group,the scores of overall health status/quality of life field and functional field were higher than those in control group,and the dif-ferences were statistically significant(P<0.05).The total incidence of complications in observation group was lower than that in control group,the total satisfaction rate was higher than that in control group,and the differences were statistically significant(P<0.05).Conclusion Multiple cognitive behavior intervention can improve the cognitive level,psychologi-cal status,quality of life and satisfaction of patients undergoing thoracoscopic radical resection for lung cancer,and re-duce the incidence of complications.

关键词

肺癌/胸腔镜肺癌根治术/多元化认知行为干预/认知水平/心理状况

Key words

lung cancer/thoracoscopic radical resection for lung cancer/multiple cognitive behavior intervention/cognitive level/psychological status

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出版年

2024
癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
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