结直肠癌化疗患者压力与应对理论认知行为护理后的睡眠质量观察  

Observation of Sleep Quality after Cognitive Behavioral Nursing of Stress and Coping Theory in Colorectal Cancer Chemotherapy Patients

作　　者：谌婧超 苏丽敏 顾秋姣 CHEN Jingchao;SU Limin;GU Qiujiao(Jianyang First Hospital of Nanping,Fujian Province,Nanping 354200,China;Songjiang Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China)

机构地区：[1]福建省南平市建阳第一医院,南平354200 [2]上海交通大学医学院附属松江医院,上海200025

出　　处：《世界睡眠医学杂志》2024年第9期2042-2044,共3页World Journal of Sleep Medicine

摘　　要：目的:探究在对结直肠癌化疗患者护理时开展压力与应对理论的认知行为护理对患者睡眠质量的影响。方法:选取2022年3月至2023年12月福建省南平市建阳第一医院收治的结直肠癌化疗患者88例作为研究对象,通过Excel表随机分为对照组和观察组,每组44例。对照组化疗期间实施常规护理,观察组开展压力与应对理论的认知行为护理。针对2组化疗期间心理状态、睡眠质量以及生命质量等进行评估。结果:2组CD-RISC评分,PSQI评分,WHOQOL-BREF评分,护理前无差异。护理后观察组较对照组CD-RISC量表评分更高,PSQI评分更低,WHOQOL-BREF评分更高(P<0.05)。结论:在对结直肠癌化疗患者护理时开展压力与应对理论的认知行为护理,可以提升患者睡眠质量,改善其心理状态,并提升其生命质量。Objective:To explore the impact of cognitive behavioral nursing based on stress and coping theory on the sleep quality of chemotherapy patients with colorectal cancer.Methods:A total of 88 colorectal cancer patients undergoing chemotherapy at Jianyang First Hospital of Nanping from March 2022 to December 2023 were enrolled in this study.They were randomly divided into a control group and an observation group,with 44 patients in each group.The control group received routine nursing care during chemotherapy,while the observation group received cognitive behavioral nursing based on stress and coping theory.Psychological status,sleep quality,and quality of life were assessed in both groups during chemotherapy.Results:Before nursing intervention,there were no significant differences in Connor-Davidson Resilience Scale(CD-RISC)scores,Pittsburgh Sleep Quality Index(PSQI)scores,and World Health Organization Quality of Life-BREF(WHOQOL-BREF)scores between the two groups.After the nursing intervention,the observation group demonstrated significantly higher CD-RISC scores,lower PSQI scores,and higher WHOQOL-BREF scores compared to the control group(P<0.05).Conclusion:Cognitive behavioral nursing,guided by stress and coping theory,effectively improves sleep quality,enhances psychological well-being,and elevates the quality of life among chemotherapy patients with colorectal cancer.

关 键 词：结直肠癌 化疗 压力与应对理论 认知行为护理 睡眠质量 心理状态 生命质量 康复 

分 类 号：R735.37[医药卫生—肿瘤] R338.63[医药卫生—临床医学]