摘要
目的探讨家属参与式认知行为干预在结直肠癌患者术后化疗期间的护理效果。方法选取2015年7月至2018年7月间西安市北方医院收治的60例结直肠癌术后化疗患者,采用随机数表法分为试验组和对照组,每组30例。试验组患者采用家属参与式认知行为干预,对照组患者采用常规护理干预,比较两组患者干预前后的心理状态、生活质量及自我护理能力。结果干预2周后,两组患者一般自我效能感量表评分均较干预前升高,且试验组高于对照组;两组患者症状自评量表评分均较干预前降低,且试验组低于对照组,差异均有统计学意义(均P<0.05)。干预2周后,两组患者生活质量中躯体功能、角色功能、情绪功能、认知功能、社会功能和整体生活质量评分均较干预前升高,且试验组高于对照组;疲倦、恶心与呕吐和疼痛评分均较干预前降低,且试验组低于对照组,差异均有统计学意义(均P<0.05)。干预2周后,试验组患者自我护理能力各项评分及总分均高于对照组,差异均有统计学意义(均P<0.05)。结论家属参与式认知行为干预较常规护理能更好改善结直肠癌术后化疗患者的心理状态和生活质量,提高自护能力,对患者预后恢复有利。
Objective To evaluate the efficacy of nursing based on family-participatory cognitive behavioral intervention in patients with colorectal cancer receiving postoperative chemotherapy.Methods Sixty patients who were treated with chemotherapy after surgery for colorectal cancer were selected as the research subjects at Xi’an North Hospital from July 2015 to July 2018.They were divided into an experimental group and a control group,with 30 patients in each group.The experimental group was given family-participatory cognitive behavioral intervention and the control group was given conventional nursing intervention.The psychological status,quality of life and self-care ability were compared between the two groups.Results After 2 weeks of intervention,the general self-efficacy scale score increased in both groups compared with before the intervention with the experimental group higher than the control group(all P<0.05).The symptom check list scores decreased compared with before the intervention with the experimental group lower than the control group(all P<0.05).After 2 weeks,scores of physical function,role function,emotional function,cognitive function,social function and overall quality of life increased in both groups compared with before the intervention with the experimental group higher than the control group(all P<0.05).Scores of fatigue,nausea and vomiting and pain decreased in both groups compared with before the intervention with the experimental group lower than the control group(all P<0.05).After 2 weeks of intervention,the scores of self-care ability and overall score of each item were significantly higher in experimental group than in control group(all P<0.05).Conclusion Family-participatory cognitive behavioral intervention can significantly improve psychological status and quality of life and enhance self-care ability in patients receiving chemotherapy after surgery for colorectal cancer,and it is beneficial to the prognosis and recovery.
作者
王立馨
张郁
刘晓庆
WANG Li-xin;ZHANG Yu;LIU Xiao-qing(Department of Surgical Anesthesiology,Xi'an North Hospital,Xi'an 710043,China;Department of Gastroenterology and Endocrinology,Xi'an North Hospital,Xi'an 710043,China;Department of Oncology Rehabilitation,Shaanxi Provincial Rehabilitation Hospital,Xi'an 710065,China)
出处
《中国肿瘤临床与康复》
2020年第9期1112-1115,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
基金
国家重点研发计划-老年全周期康复技术体系与信息化管理研究(2018YFC2002300)。
关键词
家属参与
认知行为干预
结直肠肿瘤
药物疗法
护理效果
Family-participatory
Cognitive behavioral intervention
Colorectal neoplasms
Drug therapy
Effectiveness of nursing
