首页|正念减压疗法联合认知行为干预在行TACE治疗老年肝癌患者中的应用效果

正念减压疗法联合认知行为干预在行TACE治疗老年肝癌患者中的应用效果

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目的:探讨对行经导管动脉化疗栓塞术(TACE)治疗老年肝癌患者实施正念减压疗法联合认知行为干预的应用效果.方法:选取 2022 年 1 月—2023 年 1 月在厦门市第五医院介入治疗科介入导管室行TACE的老年肝癌患者72例,随机信封法分为A组,B组,各36例,A组给予常规护理,B组在A组基础上实施正念减压联合认知行为干预.比较两组疾病不确定感、应对方式(面对、回避、屈服评分)、护理总满意度.结果:入院第28天,两组疾病不确定感各维度评分及总分均低于入院第1天,且与A组疾病不确定感各维度评分及总分比较,B组均偏低(P<0.05).入院第28天,B组面对评分高于A组,回避、屈服评分均低于A组(P<0.05).入院第 28 天,B组护理总满意度高于A组(P<0.05).结论:采用正念减压疗法联合认知行为干预在行TACE治疗老年肝癌患者中的应用效果显著.
Application Effect of Mindfulness-based Stress Reduction Therapy Combined with Cognitive Behavioral Intervention in TACE Treatment of Elderly Patients with Liver Cancer
Objective:To explore the application effect of mindfulness-based stress reduction therapy combined with cognitive behavioral intervention in elderly patients with liver cancer treated with transcatheter arterial chemoembolization(TACE).Method:A total of 72 elderly patients with liver cancer who underwent TACE in Interventional Catheter Room of Interventional Therapy Department of Xiamen Fifth Hospital from January 2022 to January 2023 were selected,and divided into group A and Group B by random envelope method,with 36 cases in each group.Group A was given routine nursing,and group B received mindfulness-based stress reduction combined with cognitive behavioral intervention on the basis of group A.Disease uncertainty,coping style(assessed by facing,avoiding and yielding scores)and total nursing satisfaction were compared between the two groups.Result:On the 28th day of admission,the scores of all dimensions and total scores of disease uncertainty in both groups were lower than those on the 1st day of admission,and compared with the scores of all dimensions and total scores of disease uncertainty in group A,those in group B were lower(P<0.05).On the 28th day of admission,the face score of group B was higher than that of group A,and the avoidance and submission scores were lower than those of group A(P<0.05).On the 28th day of admission,total nursing satisfaction of group B was higher than that of group A(P<0.05).Conclusion:The application of mindfulness-based stress reduction therapy combined with cognitive behavior intervention in TACE for elderly hepatocellular carcinoma is remarkable.

Mindfulness-based stress reduction therapyCognitive behavior interventionElderly patients with liver cancerTranscatheter arterial chemoembolizationDisease uncertaintyCoping style

叶妙桂

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厦门市第五医院介入治疗科 福建 厦门 361101

正念减压疗法 认知行为干预 老年肝癌患者 经导管动脉化疗栓塞术 疾病不确定感应对方式

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(7)
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