分阶段认知行为干预对非小细胞肺癌化疗患者自我感受负担及生存质量的影响  

Effects of staged cognitive behavioral intervention on self-perceived burden and quality of life of patients undergoing chemotherapy for non-small cell lung cancer

作　　者：许育花 苏宁[1] 罗萍[1] Xu Yuhua;Su Ning;Luo Ping(Oncology Department,Guangzhou Chest Hospital,510095,China)

机构地区：[1]广州市胸科医院肿瘤科,510095

出　　处：《国际护理学杂志》2022年第1期75-78,共4页international journal of nursing

基　　金：广东省医学科学技术研究基金(B2016112)。

摘　　要：目的探讨分阶段认知行为对非小细胞肺癌化疗患者自我感受负担和生存质量的影响。方法选取2017年6月至2018年6月该院收治的非小细胞肺癌患者61例,随机分为观察组(31例)和对照组(30例)。两组患者确诊后均根据具体的治疗方案进行化疗,对照组患者在治疗期间接受常规临床护理模式,观察组在对照组的基础上增加阶段性认知行为干预。比较两组患者干预前后自我感受负担和生存质量情况。结果干预后,观察组患者中度自我感受负担、重度自我感受负担明显下降,与干预前比较差异有统计学意义(P<0.05);观察组中度自我感受负担、重度自我感受负担低于对照组,差异有统计学意义(P<0.05)。干预后,观察组患者角色功能、情绪功能、认知功能、社会功能评分高于干预前,差异有统计学意义(P<0.05);观察组患者情绪功能、认知功能、社会功能评分高于对照组,差异有统计学意义(P<0.05)。结论分阶段认知行为干预可有效减轻非小细胞肺癌化疗患者自我感受负担,提高患者生存质量,可作为NSCLC患者的临床护理措施。Objective To explore the effect of staged cognitive behavior on self-perceived burden and quality of life in patients with non-small cell lung cancer undergoing chemotherapy.Methods A total of 61 patients with non-small cell lung cancer admitted to this hospital from June 2017 to June 2018 were randomly divided into observation group(31 cases)and control group(30 cases).Both groups received chemotherapy according to the specific treatment plan after diagnosis.The patients in the control group received routine clinical nursing mode during the treatment period,while the patients in the observation group added staged cognitive behavior intervention on the basis of the control group.The self-perceived burden and quality of life of the two groups were compared before and after intervention.Results After intervention,moderate self-perceived burden and severe self-perceived burden of patients in the observation group decreased significantly,and the difference was statistically significant compared with before intervention(P<0.05).The moderate self-perceived burden and severe self-perceived burden in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of role function,emotional function,cognitive function and social function in the observation group were higher than those before intervention,and the differences were statistically significant(P<0.05).The scores of emotional function,cognitive function and social function in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions Staged cognitive behavioral intervention can effectively reduce the self-perceived burden of chemotherapy patients and improve the quality of life of patients,which can be used as a clinical nursing measure for patients with NSCLC.

关 键 词：阶段性认知行为 非小细胞肺癌 生存质量 自我感受负担 

分 类 号：R473.73[医药卫生—护理学]