团体认知行为疗法对化疗期乳腺癌失眠患者睡眠质量和焦虑抑郁水平的影响  

Effects of group cognitive behavioral therapy on sleep quality and anxiety and depression levels in insomniac breast cancer survivors during chemotherapy

作　　者：苏娅丽[1] 王丕琳[1] 刘均娥[2] 赵越[2] 杨申申 SU Yali;WANG Pilin;LIU Jun′e;ZHAO Yue;YANG Shenshen(Department of Breast Surgery,Beijing Tiantan Hospital,Capital Medical University,Beijing100070,China;College of Nursing,Capital Medical University,Beijing100069,China)

机构地区：[1]首都医科大学附属北京天坛医院乳腺外科,北京100070 [2]首都医科大学护理学院,北京100069

出　　处：《中国医药导报》2020年第31期174-177,共4页China Medical Herald

基　　金：国家自然科学基金资助项目(81573016)。

摘　　要：目的探讨团体认知行为疗法对化疗期乳腺癌失眠患者睡眠质量和焦虑抑郁水平的影响。方法选择2018年8月—2019年2月在首都医科大学附属北京天坛医院化疗的乳腺癌失眠患者62例,采用随机数字表法分为干预组和对照组,每组31例。对照组实施常规护理,干预组在对照组基础上给予为期6周的团体认知行为疗法干预。比较两组患者在干预前后匹兹堡睡眠质量指数量表(PSQI)及医院焦虑抑郁量表评分。结果干预后,干预组入睡时间、睡眠效率、睡眠障碍、日间功能障碍及PSQI总分均低于干预前(P<0.05),且睡眠质量、入睡时间、睡眠时间、睡眠效率4个维度及PSQI总分显著低于对照组(P<0.05);医院焦虑抑郁量表各维度评分及总分显著低于干预前,且干预组低于对照组,差异有统计学意义(P<0.05)。结论团体认知行为疗法有助于改善化疗期乳腺癌失眠患者的睡眠质量,同时对降低其焦虑、抑郁情绪有较好的效果。Objective To investigate the effects of group cognitive behavioral therapy on sleep quality,anxiety and depression in patients with insomniac breast cancer survivors during chemotherapy.Methods From August 2018 to February 2019,62 patients with insomniac breast cancer survivors received chemotherapy in Beijing Tiantan Hospital,Capital Medical University,random number table method was used to divide the patients into intervention group and control group,31 cases in each group.The control group received routine nursing,and the intervention group received group cognitive behavioral therapy intervention for six weeks on the basis of the control group.The pittsburgh sleep quality index(PSQI)and hospital anxiety and depression scale scores were compared between the two groups before and after the intervention.Results Intervention group after intervention,time to fall asleep,sleep efficiency,sleep disorder,daytime dysfunction,and total score of PSQI were all lower than before intervention(P<0.05),in addition,the four dimensions of sleep quality,time to fall asleep,sleeping time and sleeping efficiency and the total score of PSQI were significantly lower than the control group(P<0.05).The scores of all dimensions and total scores of all dimensions of the hospital anxiety and depression cale in intervention group were significantly lower than those before intervention and lower than those of the control group,with statistically significant differences(P<0.05).Conclusion Group cognitive behavioral therapy is helpful to improve the sleep quality of patients with Insomniac breast cancer survivors during chemotherapy,and has a good effect on reducing their anxiety and depression.

关 键 词：团体认知行为疗法 化疗 乳腺癌失眠患者 睡眠质量 焦虑抑郁 

分 类 号：R473.7[医药卫生—护理学]