积极认知行为疗法对乳腺癌化疗患者生活质量的影响  

The effect of active cognitive behavioral therapy on the living quality of the breast cancer patients with chemotherapy

作　　者：王远萌[1] 杜丽娜[1] 杨安萍[1] 

机构地区：[1]哈尔滨医科大学附属第二临床医学院皮肤科,150086

出　　处：《国际护理学杂志》2012年第7期1162-1164,共3页international journal of nursing

摘　　要：目的探讨乳腺癌化疗患者实施积极认知行为疗法（ACBT）对生活质量的影响。方法采用随机数字表法将58例乳癌化疗患者分为两组，实验组28例采用化疗药物治疗同时联合ACBT治疗，对照组30例单纯采用化疗药物治疗。首次化疗第1天及治疗后6个月，采用生活质量核心问卷（QLQ—C30）评定两组患者干预前后的生活质量。结果两组患者生活质量核心问卷中躯体功能、角色功能、情绪功能、认知功能、社会功能、疼痛、疲乏、恶心、呕吐、失眠、总的健康状况比较差异有统计学意义（P〈0．05），气促、食欲、便秘、腹泻症状比较差异无统计学意义（P〉0．05）。结论在化疗药物治疗基础上联合ACBT治疗可提高患者的生活质量。Objective To explore the effect of active cognitive behavioral therapy （ACBT） on the breast cancer patients with chemotherapy. Methods By the random number table method 58 cases of breast cancer patients with chemotherapy were divided into two groups, the experimental group （ n = 28 ） with chemotherapy drug therapy and ACBT and control group （ n = 30） with pure chemotherapy drugs. The first day 1 and treatment chemotherapy after 6 months, two groups of patients were investigated with the life quality core question- naire （ QLQ - C30） to assess the quality of life before and after intervention. Results There were statistical significant differences between two groups in body function, the core role function, mood function, cognitive function, social function, pain, fatigue, nausea, vomiting, insomnia, and overall health condition （P 〈 0. 05）. Conclusions The chemotherapy drug combined with ACBT can improve the quality of life of the patients.

关 键 词：乳腺肿瘤 化疗 焦虑 抑郁 积极认知行为治疗 

分 类 号：R473.73[医药卫生—护理学]