认知-行为干预在大肠癌早期筛查预防宣教中的价值  

Value of Cognitive-behavioral Intervention in Early Screening,Prevention,and Education of Colorectal Cancer

作　　者：林苏梅 曾学慧[1] LIN Sumei;ZENG Xuehui(Zhongshan Hospital Affiliated to Xiamen University,Xiamen 361004,China;不详)

机构地区：[1]厦门大学附属中山医院,福建厦门361004

出　　处：《中外医学研究》2023年第29期121-124,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：厦门市自然科学基金项目(3502Z20227098)。

摘　　要：目的:探究认知-行为干预在大肠癌早期筛查预防宣教中的价值。方法:选择2021年1—12月于厦门大学附属中山医院接受大肠癌早期筛查的50名受检者为观察对象,在计算机盲选法基础上将其分为两组,各25例。对照组接受常规健康教育,观察组接受认知-行为干预。比较两组认知水平、健康行为、治疗依从性、负面情绪评分、护理满意度。结果:观察组认知水平总掌握率明显高于对照组,差异有统计学意义(P<0.05)。观察组规律饮食、合理运动、戒烟戒酒、定期复查评分明显高于对照组,差异有统计学意义(P<0.05)。观察组治疗依从率为96.0%,高于对照组的76.0%,差异有统计学意义(P<0.05)。干预前,两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);干预后,观察组SAS评分、SDS评分均低于对照组,差异有统计学意义(P<0.05)。观察组护理总满意度为92.0%,高于对照组的68.0%,差异有统计学意义(P<0.05)。结论:大肠癌早期筛查患者接受认知-行为干预可对疾病相关知识掌握程度起到良好提升作用,充分达到预防宣教目的,同时改善患者健康行为,促进依从性升高,对负面情绪缓解有良好效果。Objective:To explore the value of cognitive behavioral intervention in early screening,prevention,and education of colorectal cancer.Method:Fifty subjects who underwent early screening for colorectal cancer at Zhongshan Hospital Affiliated to Xiamen University from January to December 2021 were selected as observation subjects.They were divided into two groups based on computer blind selection,with 25 cases in each group.The control group received routine health education,while the observation group received cognitive behavioral intervention.The cognitive level,health behavior,treatment compliance,negative emotion scores,and nursing satisfaction were compared between the two groups.Result:The total mastery rate of cognitive level in the observation group was significantly higher than that in the control group,with a statistically significant difference(P<0.05).The observation group had significantly higher scores for regular diet,reasonable exercise,smoking and alcohol cessation,and regular review than the control group,with statistically significant differences(P<0.05).The treatment compliance rate of the observation group was 96.0%,which was higher than 76.0%in the control group,with a statistically significant difference(P<0.05).Before intervention,there were no statistically significant differences in the scores of the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)between the two groups(P>0.05);after intervention,the SAS and SDS scores of the observation group were lower than those of the control group,with statistically significant differences(P<0.05).The total satisfaction rate with nursing in the observation group was 92.0%,which was higher than 68.0%in the control group,with a statistically significant difference(P<0.05).Conclusion:Early screening of colorectal cancer patients receiving cognitive-behavioral intervention can effectively improve their mastery of disease-related knowledge,fully achieve the purpose of prevention and education,improve patient health behavior,promote increa

关 键 词：认知-行为干预 大肠癌 认知功能 健康行为 负面情绪 满意度 

分 类 号：R473.73[医药卫生—护理学]