认知行为干预对肿瘤患者心理痛苦、不良情绪以及生命质量和的影响研究

Effects of cognitive behavioral intervention on psychological pain, bad mood and quality of life in cancer patients

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(2)
作者
作者单位

上海交通大学附属第一人民医院医学心理科 ;
陕西省人民医院 ;

摘要
【摘要】观察并探讨认知行为干预措施对肿瘤患者心理痛苦、不良情绪和生活质量的影响。方法 选取2014年2月-2015年1月于我院肿瘤科进行治疗的160例肿瘤患者为研究对象。将患者按照随机对照原则分为对照组和观察组。对照组接受常规治疗和护理,观察组患者在此基础上接受认知行为干预,观察两组患者心里痛苦程度、不良情绪以及生活质量等指标的差异。结果 干预后,观察组患者心里痛苦评分以及焦虑、抑郁量表评分与对照组患者相比,差异具有统计学意义(P<0.01)。观察组患者经认知行为干预后5项功能量表评分项目(躯体功能、角色功能、情绪功能、认知功能、社会功能)、2项症状量表评分项目(疲劳、恶心呕吐)、4项单项量表评分项目(呼吸困难、失眠、食欲丧失、便秘)以及总体生活质量与对照组患者相比具有显著性差异(P<0.01)。结论 认知行为干预措施可有效改善患者心理痛苦以及焦虑、抑郁等不良情绪发生率,提高患者总体生活质量,值得临床应用推广。
Abstract
[Abstract]Objective:To observe and explore the effects of cognitive behavioral intervention on psychological pain,bad mood and quality of life in cancer patients.Methods:160 patients with cancer treated in our hospital from February 2014 to January 2015 were selected as the subjects.The patients were divided into the control group and the observation group according to the randomized control principle.The control group received routine treatment and care,and the observation group received cognitive behavioral intervention on the basis of the control group,the differences of pain degree, bad mood and quality of life between the two groups were observed.Results:After the intervention,the scores of heart pain score and anxiety and depression scale in the observation group were significantly different from those in the control group(P<0.01).The observation group were treated by cognitive behavioral intervention,5 functional scale project(physical function,role function,emotional function,cognitive function,social function) and 2 symptom scale project(fatigue,nausea and vomiting),4 single scale projects(dyspnea,insomnia,loss of appetite,constipation) and overall quality of life of patients in the control group compared with significant difference(P<0.01).Conclusion:Cognitive behavioral intervention can effectively improve the psychological pain and anxiety,depression and other adverse emotions,and improve the quality of life of patients,it is worthy of clinical application.
关键词
关键词:肿瘤;认知行为干预;生命质量;不良情绪;心理痛苦
KeyWord
Keywords:Cancer;Cognitive behavioral intervention;Quality of life;Adverse emotions;Psychological pain
基金项目
页码 326-329
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金文岚,陈志青,许国勤,陆新茹,荣晅*. 认知行为干预对肿瘤患者心理痛苦、不良情绪以及生命质量和的影响研究 [J]. 国际精神病学杂志. 2019; 46; (2). 326 - 329.

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