系统化认知干预对肺癌患者焦虑抑郁情绪、自我效能和生活质量的影响  

Effect of systematic cognitive intervention on anxiety,depression,self-efficacy and quality of life in patients with lung cancer

作　　者：刘珠[1] 秦韬[1] 谢梯霞 LIU Zhu;QIN Tao;XIE Ti-xia

机构地区：[1]深圳市宝安区中医院(集团)肿瘤科,深圳市518100

出　　处：《护理实践与研究》2018年第20期101-103,共3页Nursing Practice and Research

摘　　要：目的探讨系统化认知干预对肺癌患者焦虑抑郁情绪、自我效能和生活质量的影响效果。方法选取2017年1-12月我院收治的200例肺癌患者作为研究对象,随机将其等分为观察组和对照组,对照组给予常规护理干预,观察组在此基础上给予系统化认知干预。比较两组患者干预前后焦虑情绪(SAS)、抑郁情绪(SDS),自我效能(SUPPH)和生活质量(QLQ-C30)评分。结果护理后,两组SAS,SDS评分显著低于护理前(P <0.05),且观察组显著低于对照组(P <0.05);护理后,两组患者SUPPH评分显著高于护理前(P <0.05),且观察组显著高于对照组(P <0.05);护理后,两组患者QLQ-C30评分显著优于护理前(P <0.05),且观察组显著优于对照组(P <0.05)。结论系统化认知干预能够有效改善肺癌患者的焦虑抑郁情绪、提高患者自我效能评分和生活质量评分,值得临床推广应用。Objective To explore the effect of systematic cognitive intervention on anxiety,depression,self-efficacy and quality of life in patients with lung cancer.Methods To compare anxiety scores(SAS),depression scores(SDS),self-efficacy scores(SUPPH)and quality of life scores(QLQ-C30)before and after intervention,200 cases of lung cancer patients,who treated in our hospital from January to December 2017,were observed,and randomly divided into study group and control group with equal members.The control group adopted the routine nursing intervention,while the study group adopted the systematic cognitive intervention on the basis of the control group.Results After nursing,the SAS and SDS scores of the two groups were greatly lower than those before nursing(P<0.05),particularly,that of the study group was greatly lower than the control group(P<0.05).After nursing,the SUPPH score of the two groups was greatly higher than that before nursing(P<0.05),and that of the study group was greatly higher than the control group(P<0.05).After nursing,the QLQ-C30 score of the two groups was significantly better than that before nursing(P<0.05),and that of the study group was significantly better than the control group(P<0.05).Conclusion The application of systematic cognitive intervention on lung cancer patients could effectively relieve anxiety and depression,improve patients'scores of self-efficacy and quality of life,which was worthy of clinical promotion and application.

关 键 词：认知干预 肺癌 焦虑抑郁情绪 自我效能 生活质量 

分 类 号：R473.73[医药卫生—护理学]