认知疗法预防胃肠道恶性肿瘤患者术后恶心呕吐的效果  

Effect of cognitive therapy for gastrointestinal carcinoma postoperative patients to relieve nausea and vomiting

作　　者：梁小丽[1] 陈坤嫦[1] 朱文钿[1] 冯平[1] 刘丽萍[1] 

机构地区：[1]肇庆市第一人民医院普外科,广东省肇庆526021

出　　处：《中国基层医药》2008年第8期1259-1260,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨认知疗法预防胃肠道恶性肿瘤患者术后恶心呕吐反应的效果。方法将80例胃肠道恶性肿瘤患者随机分为干预组和对照组各40例，比较两组患者的恶心呕吐情况及心理健康状态评分。结果干预组术后发生恶心呕吐反应的患者明显减少，程度明显减轻，两组比较差异有统计学意义（P〈0．05）。两组入院后除人际关系因子外，躯体化、强迫、抑郁、焦虑、敌对、恐怖、偏执、精神病性8个因子分都高于常模。术后认知干预组患者心理健康因素评分显著低于对照组（P〈0．05）。结论认知疗法可显著改善胃肠道恶性肿瘤患者的心理健康评分，减轻恶心呕吐症状，提高患者的生活质量。Objective To explore the effect of cognitive therapy for gastrointestinal carcinoma postoperative patients to relieve nausea and vomiting. Methods 80 patients with gastrointestinal carcinoma were randomly divided into intervention group（ n = 40） and control group（ n = 40）. The degree of nausea and vomiting and symptom were compared between the two groups. ResuLts The incidence of nausea and vomiting in the intervention group was lower than that in the control group. So did the degree of nausea and vomiting. The difference was significant（ P 0.05）. In SCL-90, the scores of the somatization, obsessive-compulsive, depression and anxiety phobicanxiety, paranoid, psychofism were significantly different with that of the Chinese normal（ P 〈 0.05 ）. The scores in the intervention group were lower than that of the control group after cognitive therapy（P 〈 0.05）. Conclusion Cognitive therapy can help to alleviate psychological health score, nausea and vomiting from gastrointestinal carcinoma postoperative,so as to improve the quality of life for patients with gastrointestinal carcinoma.

关 键 词：胃肠肿瘤 认知疗法 预防 恶心 呕吐 

分 类 号：R473[医药卫生—护理学] R73[医药卫生—临床医学]