认知行为干预对化疗患者负性情绪的影响研究  

The effect of cognitive behavior intervening on negative emotions of chemotherapy patients

作　　者：林兰珍[1] 刘艳华[1] 杨桂珍[1] 郑海棠[1] 蔡小莉[1] 欧燕飞[1] 

机构地区：[1]广东医学院附属医院肿瘤四区,湛江524001

出　　处：《齐齐哈尔医学院学报》2013年第18期2775-2776,共2页Journal of Qiqihar Medical University

摘　　要：目的 探讨认知行为干预对化疗患者负性情绪的效果.方法 将96例化疗患者按随机数字表法随机分为干预组和和对照组各48例,对照组给予化疗常规护理,即心理护理、饮食护理、药物副作用的护理等等；干预组除给予对照组的护理外,还给予认知行为干预,采用汉密尔顿抑郁量表（Hamilton Depression Scale,HAMD）分别在患者入院后、实施干预前进行第1次评价（干预前）,然后实施干预,在完成3～4 w的干预后进行第2次评价.结果 干预前两组患者HAMD评分比较（P＞0.05）,差异无统计学意义,干预后干预组HAMD评分较对照组患者明显减轻,两者比较（P＜0.01）,差异有统计学意义.结论 认知行为干预能改善化疗患者的负性情绪,建立健康行为,从而促进患者身心健康,提高生活质量.Objective To explore the effect of cognitive behavior intervening on negative emotions of chemotherapy patients. Methods 96patients received chemotherapy were divided into intervention groupand control group randomly, 48 eases in each group. Patients in Control group were received routine care of chemotherapy,psychological care, diet care, care for drug side effects and so on. Patients in intervention group were givencognitive behavior intervening except routine care. Hamilton Depression Scale was used to evaluate the effect of negative emotions before implementing intervention and after intervention respectively. Results The differences of HAMD scores between the two groups present no statistically significant （ P 〉0. 05 ）. The HAMD scores of intervention group were significantly decreased compared with control group after cognitive behavior intervention（ P 〈 0. 01 ）. Conclusions Cognitive behavior intervening couldimprove negative emotions forpatients received chemotherapy, help them to establish healthy behaviors, contribute to the physical and mental health for patients, improve the quality of life.

关 键 词：恶性肿瘤 化疗 认知行为 负性情绪 

分 类 号：R749.92[医药卫生—神经病学与精神病学]