认知行为疗法对肝癌晚期并发抑郁患者心理健康的影响  

Effect of cognitive-behavioral therapy on metal health for patients with liver cancer and depression

作　　者：沈君霞[1] 余灵安[1] 沈丹[1] 许慧慧[1] 

机构地区：[1]浙江省台州市第一人民医院,浙江台州318000

出　　处：《护士进修杂志》2016年第11期975-977,共3页Journal of Nurses Training

基　　金：浙江省中医药科学研究基金计划(编号:2012ZA129)

摘　　要：目的探讨认知行为疗法(CBT)对肝癌晚期并发抑郁患者心理健康状况的影响。方法符合入组标准的肝癌晚期患者共50例,随机分为观察组和对照组各25例。于治疗前和治疗第4周末分别采用汉密尔顿抑郁量表(HAMD)和世界卫生组织生存质量量表(WHOQOL-100)对肝癌晚期患者进行评分。结果抑郁与WHOQOL-100生理领域、心理领域、独立性领域、社会关系领域、环境领域、总体生存质量均显著负相关(P<0.05)。观察组HAMD评分降低和WHOQOL-100心理领域评分升高与入组时比较差异有统计学意义(P<0.05);对照组HAMD评分与入组时比较差异有统计学意义(P<0.05),对照组WHOQOL-100心理领域评分与入组时比较差异无统计学意义(P>0.05)。观察组HAMD评分和WHOQOL-100心理领域评分的变化明显大于对照组(P<0.05)。结论认知行为疗法可以改善肝癌晚期患者抑郁状态,能有效提高患者心理健康。Objective To investigate the effect of cognitive-behavioral therapy on mental health for patients with liver cancer and depression. Methods 50 patients were divided into the cognitive-behavioral therapy（CBT） group and non-cognitive-behavioral Therapy （N-CBT） group,25 cases in each group. Before treating and the fourth week, de- pression was assessed with Hamilton depression scale（ HAMD） and the quality of life was assessed with the world health organization quality of life with 100 question （WHOQOL-100）. Results Depression and WHOQOL-100 （phys- iological, psychological, independence, social relations, environment and the overall quality of life） were significant- ly negative correlation （P〈0.05）. The change of the HAMD and WHOQOL-100 psychological in CBT group were significantly higher than N CBT group （P〈0.05）. Conclusions Cognitive-behavioral therapy can effectively improve the mental health of depression patients with liver cancer.

关 键 词：肝癌 抑郁 认知行为疗法 护理 

分 类 号：R471.73[医药卫生—护理学]