贝克认知疗法在四肢恶性骨肿瘤围术期患者中的干预效果及对心理状态的影响  

Intervention effect of Beck cognitive therapy in perioperative period patients with malignant bone tumors of extremities and its influence on psychological state

作　　者：谭晓云 郭佳 张军[1] TAN Xiaoyun;GUO Jia;ZHNAG Jun(Baoji Central Hospital,Baoji 721008,China)

机构地区：[1]宝鸡市中心医院,陕西宝鸡721008

出　　处：《临床医学研究与实践》2023年第33期158-161,194,共5页Clinical Research and Practice

基　　金：陕西省重点研发计划项目(No.2021SF-353)。

摘　　要：目的探讨贝克认知疗法在四肢恶性骨肿瘤围术期患者中的干预效果及对心理状态的影响。方法选取2020年1月至2022年1月本院收治的80例四肢恶性骨肿瘤围术期患者为研究对象,按照随机数字表法将其分为对照组和观察组,各40例。对照组给予常规护理,观察组在对照组基础上给予贝克认知疗法。比较两组的干预效果。结果干预后,两组的抑郁自评量表(SDS)、焦虑自评量表(SAS)评分低于干预前,Herth希望量表(HHI)评分高于干预前,且观察组优于对照组(P<0.05)。干预后,两组的癌症自我管理效能感量表(SUPPH)各维度评分显著高于干预前,且观察组高于对照组,差异具有统计学意义(P<0.05)。观察组的肢体功能恢复情况优于对照组(P<0.05)。干预后,两组的生存质量测定量表简表(WHOQOL-BREF)各维度评分显著高于干预前,且观察组显著高于对照组,差异具有统计学意义(P<0.05)。结论贝克认知疗法可有效缓解四肢恶性骨肿瘤患者的负性情绪,提高其希望水平和自我效能感,促进肢体功能恢复,提高生活质量。Objective To explore the intervention effect of Beck cognitive therapy in perioperative period patients with malignant bone tumors of extremities and its influence on psychological state.Methods A total of 80 perioperative period patients with malignant bone tumors of extremities admitted in our hospital from January 2020 to January 2022 were selected as the research objects.According to the random number table method,the patients were divided into control group and observation group,with 40 cases in each group.The control group was given routine nursing,and the observation group was given Beck cognitive therapy on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)in the two groups were lower than those before intervention,the Herth Hope Index(HHI)score was higher than that before intervention,and those of the observation group were better than the control group(P<0.05).After intervention,the scores of each dimension of Strategies Used by People to Promote Health(SUPPH)in the two groups were significantly higher than those before intervention,and those in the observation group were higher than the control group,the differences were statistically significant(P<0.05).The recovery of limb function in the observation group was better than that in the control group(P<0.05).After intervention,the scores of each dimension of World Health Organization on Quality of Life Brief Scale(WHOQOL-BREF)in the two groups were significantly higher than those before intervention,and those in the observation group were significantly higher than the control group,the differences were statistically significant(P<0.05).Conclusion Beck cognitive therapy can effectively alleviate the negative emotions of patients with malignant bone tumors of extremities,improve the level of hope and self-efficacy,promote the recovery of limb function,and improve the quality of life.

关 键 词：贝克认知疗法 四肢恶性骨肿瘤 围术期 心理状态 

分 类 号：R473.73[医药卫生—护理学]