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认知心理干预对急性白血病化疗患者情绪管理及治疗的影响 被引量:25

Effect of Cognitive Psychotherapy on Emotion Management and Treatment of Acute Leukemia Patients Receiving Chemotherapy
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摘要 目的探讨认知心理干预对急性白血病化疗患者负性情绪的干预效果及治疗依存性的影响。方法选取82例急性白血病化疗患者为研究对象,入组后随机分为认知干预组42例和对照组40例。认知干预组在住院期间除常规护理外另行小组认知干预,评定并比较两组患者焦虑抑郁量表(HAD)得分,观察两组对治疗的依存性。结果干预后,干预组较对照组焦虑得分[(5.31±2.93)分vs.(7.65±3.29)分]、抑郁得分[(5.33±2.61)分vs.(7.55±2.64)分]均显著降低,差异有统计学意义(P<0.05);治疗依存程度干预组明显优于对照组,差异有统计学意义(P<0.05)。结论认知心理干预能显著降低急性白血病化疗患者负性情绪的严重程度,提高其治疗的依存性。 Objective To explore the effect of cognitive psychotherapy on emotion management in patients with acute leukemia who receive chemotherapy and its clinical implications. Methods Totally 82 patients with acute leukemia who were receiving chemotherapy were randomly divided into psychotherapy group ( n = 42) and non - psychotherapy (control) group ( n = 40). The patients in the psychotherapy group were given cognitive psychological intervention besides routine nursing care. The scores of Anxiety and Depression Scale (HAD) - A, HAD - D and therapy compliance were compared between the two groups. Results After the intervention, the scores of HAD - A [ (5.31 ± 2. 93 ) vs. (7. 65 ± 3.29 ) ] and HAD - D [ (5.33 ± 2. 61 ) vs. ( 7. 55 ± 2. 64 ) ] between the psychological group and control group showed a statistical difference ( P 〈 0. 05 ). The therapy compliance in the psychological therapy group was statistically higher than that in the control group ( P 〈 0. 05 ). Conclusion Cognitive Psychotherapy could significantly reduce the degree of negative emotions and improves therapy compliance in acute leukemia patients receiving chemotherapy.
出处 《中国全科医学》 CAS CSCD 北大核心 2011年第1期84-86,共3页 Chinese General Practice
关键词 急性白血病 认知干预 化疗 负性情绪 Acute leukemia Cognitive psychotherapy Chemotherapy Negative emotions
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