认知行为疗法对癌症化疗患儿心理弹性及负性情绪的影响  

Effect of cognitive behavioral therapy on resilience and negative moods in children with malignant tumor during chemotherapy

作　　者：张萍 莫霖[2] 李霞 黄先巧 Zhang Ping;Mo Lin;Li Xia;Huang Xianqiao(School of Pediatrics,Chongqing Medical University,Chongqing 400014,China)

机构地区：[1]重庆医科大学儿科学院/儿童发育疾病研究教育部重点实验室/儿童发育重大疾病国家国际科技合作基地/儿科学重庆市重点实验室,重庆400014 [2]重庆医科大学附属儿童医院特需门诊

出　　处：《护理学杂志》2018年第13期60-64,共5页Journal of Nursing Science

基　　金：重庆市卫生和计划生育委员会资助项目(2017ZDXM013)

摘　　要：目的探讨认知行为疗法对癌症化疗患儿心理弹性及负性情绪改善效果。方法将100例住院化疗的癌症患儿随机分为观察组和对照组各50例,对照组给予常规心理护理,观察组给予认知行为疗法,并在干预前后分别采用心理弹性量表和抑郁-焦虑-压力简易量表对两组患儿的心理弹性及负性情绪进行评价。结果干预后观察组患儿心理弹性评分显著高于对照组,负性情绪评分显著低于对照组(均P<0.05)。结论认知行为疗法通过改变癌症患儿对癌症及化疗的错误认知,能增强其心理弹性,有效减轻负性情绪,使其以积极心态配合治疗,提高长期生存质量。Objective To explore the effect of cognitive behavioral therapy(CBT)on resilience and negative moods in children with cancer during chemotherapy.Methods One hundred children with cancer during chemotherapy were randomly and equally divided into an experimental group and a control group,receiving either CBT or routine psychological care.The Depression Anxiety Stress Scale(DASS)and Conner-Davidson Resilience Scale(CDRS)were employed to measure negative moods and resilience before and after the intervention.Results The total CDRS score was significantly higher,whereas the scores of depression,anxiety and stress were significantly lower in the experimental group than those in the control group after the intervention(P<0.05 for all).Conclusion CBT can effectively help children alter wrong attitude towards cancer and chemotherapy,thus to strengthen resilience and relieve negative moods,resulting in positive cooperation in treatment and high long-term quality of life.

关 键 词：癌症 认知行为疗法 心理弹性 负性情绪 焦虑 抑郁 压力 

分 类 号：R473.74[医药卫生—护理学]