首页|认知行为干预结合医护合作健康教育对行放射治疗肺癌患者癌因性疲乏的影响

认知行为干预结合医护合作健康教育对行放射治疗肺癌患者癌因性疲乏的影响

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目的 分析认知行为干预结合医护合作健康教育对行放射治疗(简称"放疗")肺癌患者癌因性疲乏的影响。方法 纳入华中科技大学同济医学院附属同济医院于2021年1月至2022年12月收治的86例肺癌患者,使用简单随机法分别划入观察组(43例)与对照组(43例)。2组患者均接受放疗,对照组在治疗期间采用常规护理及医护合作健康教育,观察组加用认知行为干预。对比2组患者干预前后的癌因性疲乏、心理状态及自我护理能力变化。结果 干预3个月后,2组的癌因性疲乏自评量表(PFS)各维度评分、焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均较干预前降低,自我护理能力测量量表(ESCA)各维度评分均较干预前升高(P均<0。05);观察组的PFS各维度评分、SAS和SDS评分均较对照组更低,ESCA各维度评分均较对照组更高(P均<0。05)。结论 在医护合作健康教育的基础上结合认知行为干预,对于减轻肺癌患者在行放疗期间的癌因性疲乏、改善其心理状态、提高其自我护理能力均具有积极意义。
Effect of cognitive behavioral intervention combined with doctor-nurse cooperative health education on cancer-related fatigue of lung cancer patients undergoing radiotherapy
Objective To analyze the effect of cognitive behavioral intervention combined with doctor-nurse cooperative health education on the cancer-related fatigue in lung cancer patients undergoing radiotherapy.Methods Eighty-six lung cancer patients admitted to Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology from January 2021 to December 2022 were included in the study.They were assigned into an observation group(43 cases)and a control group(43 cases)using the simple randomization method.Both groups of patients received radiotherapy.The control group received routine nursing and doctor-nurse cooperative health education during treatment,while the observation group additionally received cognitive behavioral intervention.The changes in cancer-related fatigue,psychological state,and self-care ability of the two groups were compared before and after intervention.Results After 3 months of intervention,the scores of the Piper Fatigue Scale(PFS),the Self-Rating Anxiety Scale(SAS),and the Self-Rating Depression Scale(SDS)in both groups decreased compared with those before intervention,and the scores of the Exercise of Self-Care Agency(ESCA)increased compared with those before intervention(all P<0.05).The PFS,SAS,and SDS scores of the observation group were lower than those of the control group,and the ESCA scores were higher than those of the control group(all P<0.05).Conclusion Cognitive behavioral intervention combined with doctor-nurse cooperative health education has positive significance in reducing the cancer-related fatigue,improving the psychological state,and enhancing the self-care ability of lung cancer patients during radiotherapy.

lung cancerradiotherapycognitive behavioral interventiondoctor-nurse cooperative health educationcancer-related fatigue

吕近溪、朱莉、贺显钧

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华中科技大学同济医学院附属同济医院,湖北武汉,430030

肺癌 放射治疗 认知行为干预 医护合作健康教育 癌因性疲乏

2024

中西医结合护理(中英文)
上海交通大学

中西医结合护理(中英文)

ISSN:2096-0867
年,卷(期):2024.10(8)