认知行为干预对膀胱癌行尿流改道腹壁造口病人生存质量及心理的影响  

Influence of cognitive behavioral intervention on quality of life and psychological state of bladder carcinoma patients undergoing urinary diversion abdominal stoma

作　　者：吴金燕[1] 付玉秀[1] 唐梅[1] 

机构地区：[1]广西壮族自治区南溪山医院

出　　处：《全科护理》2016年第11期1081-1083,共3页Chinese General Practice Nursing

摘　　要：[目的]探讨膀胱癌行尿流改道腹壁造口病人接受认知行为干预的效果。[方法]将60例膀胱癌行尿流改道腹壁造口病人按照随机数字表法分为观察组和对照组各30例,对照组接受常规护理,观察组在常规护理的基础上开展认知行为干预,采用生存质量量表(QLQ-C30)、焦虑自评量表(SAS)与抑郁自评量表(SDS)对两组病人干预前后生存质量、心理状况进行评价、比较,并调查两组病人的护理满意度。[结果]干预后观察组生存质量明显高于对照组、SDS及SAS评分均明显低于对照组、病人护理满意率明显高于对照组,经比较差异均有统计学意义(P均<0.01)。[结论]对接受尿流改道腹壁造口治疗的膀胱癌病人实施认知行为干预,能有效改善其生存质量及心理状况,提高护理满意度。Objective：To probe into the effect of cognitive behavioral intervention for bladder carcinoma patients undergoing urinary diversion abdominal stoma.Methods：A total of 60 cases of bladder carcinoma patients undergoing urinary diversion abdominal stoma were divided into observation group and control group based on random number table,30 cases in each.The patients in control group received usual care,besides that the patients in observation group received cognitive behavioral intervention.The quality of life scale（QLQ-C30）,Self-Rating Anxiety Scale（SAS）and Self-rating Depression Scale（SDS）were used for evaluation and comparison of the quality of life and mental health between both groups of patients before and after the intervention,and to investigate their nursing satisfaction.Results：After the intervention,the quality of life in observation group was significantly higher,SDS and SAS scores were significantly lower than that in control group,patients＇ nursing satisfaction rate was significantly higher and the difference was statistically significant（all P〈0.01）.Conclusion：The cognitive behavioral intervention for the bladder carcinoma patients undergoing urinary diversion abdominal stoma can improve their quality of life and mental health,improve nursing satisfaction of the patients.

关 键 词：膀胱癌 认知行为干预 生存质量 心理状况 

分 类 号：R473.73[医药卫生—护理学]