宣泄和认知行为干预对肠造口病人生活质量的影响  

Influence of catharsis and cognitive behavior intervention on quality of life of enterostomy patients

作　　者：陈锦坚[1] 李春梅[1] 邓顺华[1] 刘莉萍[1] 黄海华[1] 吴燕梅[1] 

机构地区：[1]广东省肇庆市第一人民医院

出　　处：《护理研究（下旬版）》2011年第11期3045-3047,共3页Chinese Nursing Researsh

摘　　要：[目的]探讨宣泄和认知行为干预对直肠癌结肠造口病人生活质量的影响。[方法]将66例直肠癌结肠造口病人随机分为实验组33例,对照组33例。两组病人均采用常规的护理措施,实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。观察病人生活质量的变化情况。[结果]干预后两组病人生活质量的5个功能领域、3个症状领域和整体生活质量得分比较,差异有统计学意义(P<0.05或P<0.01);实验组护理干预后较干预前生活质量有明显改善。[结论]对直肠癌结肠造口病人在常规的护理基础上。配合以宣泄、认知教育、放松训练为主的行为干预,可以提高病人的生活质量。Objective：catharsis and cognitive behavioral intervention on cancer patients＇quality of life of colostomy impact.[Methods]：66 cases of rectal cancer colostomy patients were randomly divided into experimental group of 33 patients in the control group of 33 cases.Two groups of patients were using conventional measures of care,the experimental group on the basis of the implementation of catharsis and cognitive-behavioral intervention,before and after intervention using QLQ-C30 scales were assessed.Observed changes in the quality of life of patients.Results：The quality of life of patients after the intervention of two groups of five functional areas,three symptom domains and overall quality of life scores,the difference was statistically significant（P0.05 orP0.01）;experimental group after the intervention than before intervention care quality of life improved significantly.Conclusion：colostomy for rectal cancer patients in routine care basis.With the vent,cognitive education,relaxation training-based behavioral interventions can improve patients＇quality of life.

关 键 词：直肠癌 认知疗法 宣泄疗法 行为干预 生活质量 

分 类 号：R473.6[医药卫生—护理学]