认知行为疗法结合精细化营养支持对中晚期肺癌初诊患者康复效果的影响  

Effect of cognitive behavioral therapy combined with refined nutritional support on rehabilitation of newly diagnosed patients with advanced lung cancer

作　　者：孙晓光[1] 邵洁[1] SUN Xiaoguang;SHAO Jie(Renji Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai,200127,China)

机构地区：[1]上海交通大学医学院附属仁济医院,上海200127

出　　处：《中西医结合护理(中英文)》2025年第2期61-64,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨认知行为疗法结合精细化营养支持对中晚期肺癌初诊患者治疗依从性、营养状态及希望水平的影响。方法择取2022年1~12月于上海交通大学医学院附属仁济医院初诊的134例中晚期肺癌患者为研究对象,按信封随机法将其分为常规组(n=68)与实验组(n=66)。常规组采取常规护理方法,实验组在常规护理的基础上给予认知行为疗法结合精细化营养支持干预。比较2组治疗依从性、营养状态[白蛋白(ALB)、总蛋白(TP)、血红蛋白(Hb)、总胆固醇(TC)]和希望水平[中文版Herth希望量表(HHI)]。结果实验组患者的治疗依从性良好率高于常规组(P<0.05)。相比于干预前,2组在干预12周后的ALB、TP、Hb、TC水平,以及HHI量表的积极态度、积极行动、亲密关系维度、总分均升高(P均<0.05),且相较于常规组,实验组的指标水平和评分均更高(P均<0.05)。结论认知行为疗法结合精细化营养支持对中晚期肺癌初诊患者的应用效果较好,可以有效改善患者的治疗依从性、营养状态及希望水平。Objective To explore the effect of cognitive behavioral therapy combined with refined nutritional support on the treatment compliance,nutritional status,and hope level of patients with newly diagnosed advanced lung cancer.Methods A total of 134 newly diagnosed patients with advanced lung cancer at Renji Hospital,Shanghai Jiao Tong University School of Medicine from January to December 2022 were selected as the study subjects.They were divided into a routine group(n=68)and an experimental group(n=66)using envelope randomization.The routine group received routine nursing method,while the experimental group received cognitive behavioral therapy combined with refined nutritional support on the basis of routine nursing.The treatment compliance,nutritional status(albumin[ALB],total protein[TP],hemoglobin[Hb],total cholesterol[TC])and hope level(Herth Hope Index[HHI])were compared between the two groups.Results The good treatment compliance rate of the experimental group was higher than that of the routine group(P<0.05).In comparison with the pre-intervention status,the ALB,TP,Hb,and TC levels,as well as the dimension scores of positive attitude,positive action,interconnectedness,and the total score of the HHI increased in both groups after 12 weeks of intervention(P<0.05).Compared with the routine group,the indicators and scores of the experimental group were higher(P<0.05).Conclusion The application of cognitive behavioral therapy combined with refined nutritional support has a positive effect on newly diagnosed patients with advanced lung cancer,which can effectively improve their treatment compliance,nutritional status,and hope level.

关 键 词：中晚期肺癌 认知行为疗法 精细化营养支持 营养状态 希望水平 

分 类 号：R473.73[医药卫生—护理学]