认知行为护理对乳腺癌化疗患者癌因性疲乏及自我效能的影响  

The influence of cognitive behavior nursing on cancer-related fatigue and self-efficacy in breast cancer patients undergoing chemotherapy

作　　者：刘小娜[1] 马晓霞[1] 史博慧 陈瑶 郝娜 周瑜辉[1] LIU Xiaona;MA Xiaoxia;SHI Bohui(Breast Surgery,First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China)

机构地区：[1]西安交通大学第一附属医院乳腺外科,西安710061

出　　处：《国际精神病学杂志》2024年第4期1298-1301,共4页Journal Of International Psychiatry

基　　金：陕西省重点研发计划(编号:2022SF-080)。

摘　　要：目的探讨乳腺癌患者在实施化疗过程中,为其提供认知行为护理的价值,并分析该方案对癌因性疲乏及自我效能的影响。方法2021年1月~2022年12月确诊为乳腺癌的230例患者纳入研究,以随机数字表法分2组,一组接受常规护理(对照),一组接受认知行为护理(观察)。统计干预前后两组患者的癌因性疲乏,自我效能,心理状态,认知功能。结果较对照组而言,观察组115例患者经认知行为护理后统计的癌因性疲乏明显降低(P<0.05);观察组统计的自我效能明显升高(P<0.05);观察组统计的抑郁自评量表(SDS)评分,焦虑自评量表(SAS)评分降低(P<0.05);观察组统计的认知功能明显升高(P<0.05)。结论在乳腺癌患者化疗过程中,为其提供认知行为护理方案可改善其心理状态及认知功能,通过提高自我效能感,缓解其癌因性疲乏状态。Objective To explore the value of cognitive behavioral nursing for breast cancer patients during the implementation of chemotherapy,and analyze the impact of this program on cancer-related fatigue and self-efficacy.Methods 30 patients diagnosed with breast cancer from January 2021 to December 2022 were randomly divided into two groups,one receiving routine care(control)and the other receiving cognitive behavioral care(observation).Statistical analysis of cancer-related fatigue,self-efficacy,psychological state,and cognitive function before and after intervention.Results Compared with the control group,115 patients in the observation group showed a significant decrease in cancer related fatigue after receiving cognitive behavioral care(P<0.05).The self-efficacy of the observation group significantly increased(P<0.05).The SDS score and SAS score of the observation group decreased(P<0.05).The cognitive function of the observation group was significantly increased(P<0.05).Conclusion In the process of chemotherapy for breast cancer patients,providing cognitive behavioral nursing programs can improve their mental state and cognitive function,and alleviate their cancer-related fatigue by improving self-efficacy.

关 键 词：认知行为护理 乳腺癌 化疗 癌因性疲乏 自我效能 认知功能 

分 类 号：R749.99[医药卫生—神经病学与精神病学]