摘要
目的:探讨整合心理行为疗法在非小细胞肺癌(NSCLC)术后化疗患者中的应用效果.方法:选取2019年1月—2023 年 1 月沧州市人民医院收治的 112 例NSCLC术后化疗患者.根据随机数表法将其分为观察组和对照组,各 56 例.对照组给予常规干预,观察组在对照组基础上给予整合心理行为疗法.比较两组干预前后负性情绪、睡眠情况、生存质量及化疗依从性.结果:干预后,观察组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均低于对照组,差异有统计学意义(P<0.05).干预后,观察组睡眠时间、入睡时间、睡眠质量、日间功能、睡眠障碍、催眠药物、睡眠效率评分均低于对照组,差异有统计学意义(P<0.05).观察组化疗总依从率高于对照组,差异有统计学意义(P<0.05).干预后,观察组情绪功能、躯体功能、社会功能、角色功能、认知功能评分均高于对照组,差异有统计学意义(P<0.05).结论:整合心理行为疗法能减轻NSCLC术后化疗患者焦虑抑郁情绪,改善睡眠质量,提升化疗依从性与生存质量.
Abstract
Objective:To explore the application effect of integrated psychological behavioral therapy in postoperative chemotherapy patients with non-small cell lung cancer(NSCLC).Method:A total of 112 postoperative chemotherapy patients with NSCLC admitted to Cangzhou People's Hospital from January 2019 to January 2023 were selected.They were divided into observation group and control group according to random number table method,with 56 cases in each group.The control group received routine intervention,and the observation group received integrated psychological behavioral therapy on the basis of the control group.Negative emotions,sleep condition,quality of life before and after intervention and chemotherapy compliance were compared between the two groups.Result:After intervention,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the sleep time,time to fall asleep,sleep quality,daytime function,sleep disorders,hypnotic drugs,sleep efficiency scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The total chemotherapy compliance rate in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the scores of emotional function,physical function,social function,role function and cognitive function in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Integrated psychological behavioral therapy can alleviate anxiety and depression mood in postoperative chemotherapy patients with NSCLC,improve sleep quality,and enhance chemotherapy compliance and quality of life.
维普
万方数据