首页|认知行为护理对乳腺癌化疗患者癌因性疲乏及自我效能的影响

认知行为护理对乳腺癌化疗患者癌因性疲乏及自我效能的影响

The influence of cognitive behavior nursing on cancer-related fatigue and self-efficacy in breast cancer patients undergoing chemotherapy

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目的 探讨乳腺癌患者在实施化疗过程中,为其提供认知行为护理的价值,并分析该方案对癌因性疲乏及自我效能的影响.方法 2021年1月~2022年12月确诊为乳腺癌的230例患者纳入研究,以随机数字表法分2组,一组接受常规护理(对照),一组接受认知行为护理(观察).统计干预前后两组患者的癌因性疲乏、自我效能、心理状态、认知功能.结果 较对照组而言,观察组115例患者经认知行为护理后统计的癌因性疲乏明显降低(P<0.05);观察组统计的自我效能明显升高(P<0.05);观察组统计的抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分降低(P<0.05);观察组统计的认知功能明显升高(P<0.05).结论 在乳腺癌患者化疗过程中,为其提供认知行为护理方案可改善其心理状态及认知功能,通过提高自我效能感,缓解其癌因性疲乏状态.
Objective To explore the value of cognitive behavioral nursing for breast cancer patients during the implementation of chemotherapy,and analyze the impact of this program on cancer-related fatigue and self-efficacy.Methods 30 patients diagnosed with breast cancer from January 2021 to December 2022 were randomly divided into two groups,one receiving routine care(control)and the other receiving cognitive behavioral care(observation).Sta-tistical analysis of cancer-related fatigue,self-efficacy,psychological state,and cognitive function before and after intervention.Results Compared with the control group,115 patients in the observation group showed a significant de-crease in cancer related fatigue after receiving cognitive behavioral care(P<0.05).The self-efficacy of the observation group significantly increased(P<0.05).The SDS score and SAS score of the observation group decreased(P<0.05).The cognitive function of the observation group was significantly increased(P<0.05).Conclusion In the process of chemotherapy for breast cancer patients,providing cognitive behavioral nursing programs can improve their mental state and cognitive function,and alleviate their cancer-related fatigue by improving self-efficacy.

Cognitive behavioral careBreast cancerChemotherapyCancer induced fatigueSelf efficacyCognitive function

刘小娜、马晓霞、史博慧、陈瑶、郝娜、周瑜辉

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西安交通大学第一附属医院乳腺外科(西安,710061)

认知行为护理 乳腺癌 化疗 癌因性疲乏 自我效能 认知功能

陕西省重点研发计划

2022SF-080

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(4)