宣泄和认知行为干预对乳腺癌术后化疗患者生活质量的影响  

Effects of catharsis and cognitive behavior intervention on quality of life among breast cancer patients receiving postoperative chemotherapy

作　　者：林细吟[1] 覃惠英[2] 尤黎明[1] 王晓丽[3] 陈洁丽[2] 赵飞英[1] 

机构地区：[1]中山大学护理学院,广东广州510089 [2]中山大学肿瘤防治中心,广东广州510060 [3]中山大学附属第一医院黄埔院区外科一区,广东广州510070

出　　处：《现代临床护理》2010年第1期1-3,共3页Modern Clinical Nursing

基　　金：广东省科技计划项目;项目编号为2002C30313

摘　　要：目的探讨宣泄和认知行为干预对乳腺癌术后化疗患者生活质量的影响。方法将97例乳腺癌患者随机分为试验组47例和对照组50例。两组患者均采用常规的护理措施,试验组在此基础上实施宣泄和认知行为干预,干预前后分别采用QLQ-C30量表进行评定,观察患者生活质量的变化情况。结果干预后两组患者生活质量的5个功能维度、3个症状维度和整体生活质量得分比较,差异具有统计学意义(P<0.05或P<0.01);试验组护理干预后较干预前生活质量有明显改善。结论对乳腺癌术后化疗患者在常规护理的基础上,配合以宣泄、认知教育、放松训练为主的行为干预,可以提高患者的生活质量。Objective To investigate the effects of catharsis therapy and cognitive behavior intervention on quality of life in breast cancer patients receiving postoperative chemotherapy. Methods Ninety-seven breast cancer patients receiving postoperative chemotherapy were randomly divided into the experimental group （47cases） and the control group （50 cases）. The control group received routine care, while the experimental group received routine care and comprehensive intervention mainly including catharsis therapy, cognitive education and relaxation training. The quality of life of those patients were evaluated with quality of life questionnaire-core 30 scale（QLQ-C30）before and after intervention. The changes of quality of life were compared between the two groups. Results There were significant differences in the tocal score of QOL-five funtional dimentions and three symptom dimentions in the two groups after intervention. After intervention, the quality of life in the experimental group were significantly improved （all P 〈 0.05）. Conclusion The quality of life of breast cancer patients receiving postoperative chemotherapy can be improved by catharsis therapy and cognitive behavior intervention.

关 键 词：乳腺癌 认知疗法 宣泄疗法 生活质量 

分 类 号：R473.73[医药卫生—护理学]