认知-信念-行为干预对脑胶质瘤手术患者用药依从性及生活质量的影响  

Influence of cognition-belief-behavior intervention on medication compliance and quality of life in patients undergoing brain glioma surgery

作　　者：赵超颖 潘圆圆 张莉娟 ZHAO Chaoying;PAN Yuanyuan;ZHANG Lijuan(Second Ward(2),Department of Neurosurgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院神经外科二病区(2),郑州4500000

出　　处：《癌症进展》2024年第19期2178-2180,2189,共4页Oncology Progress

摘　　要：目的探讨认知-信念-行为(CBB)干预对脑胶质瘤手术患者用药依从性及生活质量的影响。方法根据干预方案的不同将80例脑胶质瘤手术患者分为对照组(n=42)和CBB组(n=38),对照组患者给予常规干预,CBB组患者在对照组的基础上给予CBB干预。比较两组患者的用药依从性[Morisky用药依从性量表(MMAS-8)]、生活质量[健康调查简表(SF-36)]及术后并发症发生情况。结果干预后,两组患者SF-36各维度评分、MMAS-8评分均高于本组干预前,CBB组患者SF-36各维度评分、MMAS-8评分均高于对照组,差异均有统计学意义(P<0.05)。CBB组患者术后并发症总发生率为2.63%,低于对照组患者的16.67%,差异有统计学意义(P<0.05)。结论CBB干预能显著改善脑胶质瘤手术患者的用药依从性,提高患者的生活质量,降低术后并发症发生率。Objective To investigate the influence of cognition-belief-behavior(CBB)intervention on medication compliance and quality of life in patients undergoing brain glioma surgery.Method According to the different intervention methods,80 patients with brain glioma surgery were divided into control group(n=42)and CBB group(n=38).Patients in the control group received conventional intervention,and patients in the CBB group received CBB intervention on the basis of the control group.The medication compliance[8-item Morisky medication adherence scale(MMAS-8)],quality of life[the MOS 36-item short form health survey(SF-36)]and the incidence of postoperative complications were compared between the two groups.Result After intervention,the dimensional scores of SF-36 and the scores of MMAS 8 in both groups were higher than those before intervention,and the dimensional scores of SF-36 and the score of MMAS 8 in CBB group were higher than those in control group,the differences were statistically significant(P<0.05).The total incidence of postoperative complications in CBB group was 2.63%,which was lower than 16.67%in control group,and the difference was statistically significant(P<0.05).Conclusion CBB intervention can significantly improve the medication compliance,improve the quality of life and reduce the incidence of postoperative complications in patients undergoing brain glioma surgery.

关 键 词：认知-信念-行为 脑胶质瘤 用药依从性 生活质量 

分 类 号：R739.41[医药卫生—肿瘤]