认知行为干预对胶质瘤患者心理弹性和癌症复发恐惧的影响  

Effect of Cognitive Behavior Intervention on Psychological Resilience and Recurrence Fear in Glioma Patients

作　　者：石赞华[1] 刘燕[1] 龙玉炜 Shi Zanhua;Liu Yan;Long Yuwei(Xiangya Hospital Zhongnan University,Changsha Hunan 410008,China)

机构地区：[1]中南大学湘雅医院,湖南长沙410008

出　　处：《齐鲁护理杂志》2022年第3期5-8,共4页Journal of Qilu Nursing

摘　　要：目的:探讨认知行为干预对胶质瘤患者心理弹性及癌症复发恐惧(FCR)的影响。方法:选取2018年1月1日~2019年6月30日收治的88例胶质瘤患者,采用随机数字表法分为实验组45例和对照组43例,对照组给予常规干预,实验组在常规干预基础上采用认知行为干预;比较两组干预前后心理状况[采用焦虑自评量表(SAS)与抑郁自评量表(SDS)]、认知水平、心理弹性[采用心理弹性量表(CD-RISC)]、FCR程度[采用恐惧疾病进展量表(FoP-Q-SF)]。结果:干预后,两组SAS及SDS评分、认知水平评分低于干预前(P<0.05),且实验组低于对照组(P<0.01);干预后,两组CD-RISC中适应性、坚韧、控制与目标实现评分高于干预前(P<0.05),且实验组高于对照组(P<0.01);干预后,实验组FoP-Q-SF评分低于干预前和对照组(P<0.05,P<0.01)。结论:认知行为干预能有效增加胶质瘤患者对自身疾病及治疗的认知,提高其心理弹性,缓解焦虑、抑郁等负性情绪,减轻对癌症复发的恐惧感,具有重要的应用价值。Objective:To explore the effect of cognitive behavior intervention on psychological resilience and fear of cancer recurrence in glioma patients.Methods:A total of 88 glioma patients admitted during January 1,2018 to June 30,2019 were enrolled and divided into the experimental group with 45 cases and the control group with 43 cases by the random number table method.The control group was given routine intervention,while the experimental group was given cognitive behavior intervention on basis of the control group.The scores of Self-Rating Anxiety scale(SAS)and Self-Rating Depression scale(SDS),cognitive level,scores of Connor-Davidson resilience scale(CD-RISC)and Fear of Progression Questionnaire-Short Form(FoP-Q-SF)before and after intervention were compared between the two groups.Results:After intervention,the SAS and SDS scores,and scores of cognitive level were lower in both groups than those before intervention(P<0.05),and lower in the experimental group than those in the control group(P<0.01).After intervention,the scores of adaptation,toughness,control and goal achievement in CD-RISC in the experimental group were higher in both groups than those in the control group(P<0.05),and higher in the experimental group than those in the control group(P<0.01).After intervention,the FoP-Q-SF scores in the experimental group were lower than those before and in the control group(P<0.05,P<0.01).Conclusion:Cognitive behavior intervention can effectively increase the cognition of glioma patients about their own diseases and treatment,improve their psychological resilience,alleviate anxiety,depression and other negative emotions,and reduce their fear of cancer recurrence,which is of great value of application.

关 键 词：胶质瘤 认知行为干预 心理弹性 复发恐惧 

分 类 号：R473.73[医药卫生—护理学]