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目的探讨认知疗法在同步放化疗肿瘤患者中的应用效果。方法将重庆市肿瘤医院妇瘤科2013年1月至2014年1月间收治的接受同步放化疗的60例宫颈癌患者随机分为观察组和对照组,每组各30例。对照组患者采用常规护理,观察组患者在对照组的基础上采用认知疗法。比较两组患者的健康信念、遵医行为、不良反应及生活质量。结果观察组患者在重视疾病、了解同步放化疗的重要性及信任医护人员的健康信念方面高于对照组,遵医行为好于对照组,不良反应程度轻于对照组,差异均有统计学意义(P<0.05)。观察组患者在角色受限、躯体疼痛、总体健康、生命活力等方面的生活质量高于对照组,差异有统计学意义(P<0.05)。结论认知疗法可帮助宫颈癌同步放化疗患者建立正确的疾病认知,并提高患者的遵医行为和生活质量。
Objective To explore the application of cognitive therapy in patients with concurrent chemoradiotherapy. Methods Sixty patients with cervical cancer who received concurrent chemoradiotherapy from January 2013 to January 2014 in Chongqing Tumor Hospital were randomly divided into observation group and control group, with 30 cases in each group. Patients in the control group were treated with routine care and patients in the observation group were treated with cognitive therapy on the basis of the control group. The health beliefs, compliance behaviors, adverse reactions and quality of life of the two groups were compared. Results The patients in observation group were better than control group in the importance of disease, understanding the importance of concurrent chemoradiation and the health belief of trusting medical staff, and the behavior of compliance group was better than that of control group, the degree of adverse reaction was lighter than that of control group, the differences were statistically significant (P <0.05). The quality of life of the observation group was higher than that of the control group in the aspects of limited role, somatic pain, general health and vitality. The difference was statistically significant (P <0.05). Conclusion Cognitive therapy can help patients with cervical cancer concurrent chemoradiotherapy to establish the correct disease awareness and improve patient compliance and quality of life.