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基于认知行为的综合护理对胶质瘤患者心理功能的影响

Effect of Comprehensive Nursing Based on Cognitive Behavior on Psychological Function of Glioma Patients.

作者信息

Zhao Yu-Hong, Xu Yan

机构信息

Operating Room, Linyi Central Hospital, Linyi, Shangdong, 276400, People's Republic of China.

出版信息

Neuropsychiatr Dis Treat. 2021 Mar 10;17:777-785. doi: 10.2147/NDT.S286164. eCollection 2021.

Abstract

OBJECTIVE

The aim of our current study is to explore the effect of comprehensive nursing based on cognitive behavior on the psychological function of glioma patients.

METHODS

A total of 108 patients with glioma were randomly divided into intervention group ( = 54) and control group ( = 54). Patients in the control group were given routine nursing for 3 months, while patients in the intervention group were given comprehensive nursing based on cognitive behavior for 3 months on the basis of control group. Parameters such as scores of simplified Fear of Progression Questionnaire-Short Form (FoP-Q-SF), Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) as well as cancer-related fatigue and quality of life (QOL) were compared before and after the intervention.

RESULTS

No significant difference was observed in the scores of FoP-Q-SF, SAS, SDS, cancer-related fatigue and quality of life between the two groups before intervention ( > 0.05). Conversely, after the intervention, the scores of FoP-Q-SF, SAS, SDS and cancer-related fatigue in the intervention group were significantly lower than those in the control group, and the scores of life quality in the intervention group were significantly higher than those in the control group (all values <0.05).

CONCLUSION

Our findings provide evidence that comprehensive nursing based on cognitive behavior can effectively improve the negative psychological state of patients such as anxiety and depression and cancer-related fatigue with improved life quality for patients harboring glioma.

摘要

目的

本研究旨在探讨基于认知行为的综合护理对胶质瘤患者心理功能的影响。

方法

将108例胶质瘤患者随机分为干预组( = 54)和对照组( = 54)。对照组患者接受3个月的常规护理,而干预组患者在对照组的基础上接受3个月的基于认知行为的综合护理。比较干预前后简化进展恐惧问卷简表(FoP-Q-SF)、自评焦虑量表(SAS)、自评抑郁量表(SDS)得分以及癌症相关疲劳和生活质量(QOL)等参数。

结果

干预前两组患者的FoP-Q-SF、SAS、SDS、癌症相关疲劳和生活质量得分比较,差异无统计学意义( > 0.05)。相反,干预后,干预组的FoP-Q-SF、SAS、SDS得分和癌症相关疲劳明显低于对照组,干预组的生活质量得分明显高于对照组(所有 值<0.05)。

结论

我们的研究结果表明,基于认知行为的综合护理可以有效改善胶质瘤患者的焦虑、抑郁等负面心理状态以及癌症相关疲劳,并提高患者的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a514/7956890/3ea7d266406f/NDT-17-777-g0001.jpg

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