【摘要】 目的探讨认知行为疗法对喉癌术后患者的生活质量、睡眠质量及心理痛苦的影响。方法选取2015年1月至2019年10月福建省肿瘤医院105例喉癌患者作为研究对象,按照随机数字法进行分组。干预期间有2例患者无法按计划进行认知行为疗法干预,1例患者因无法取得联系而终止研究,最终共有105例完成研究,将其随机分为51例研究组和54例对照组。对照组给予常规护理,研究组在常规护理基础上给予认知行为疗法措施。采用第4版癌症患者生命质量测定量表共性模块(FACTG)、匹兹堡睡眠指数量表(PSQI)和心理痛苦温度计(DT)分别测评生活质量、睡眠质量和心理痛苦程度。结果两组患者年龄、性别、文化程度、体重指数、手术方式和病理分期比较,差异均无统计学意义(P>0.05)。干预后对照组的睡眠质量总分和各项得分均高于研究组,对照组的各项生活质量低于研究组,心理痛苦评分高于研究组,差异均有统计学意义(P<0.05)。结论认知行为疗法能有效降低喉癌术后患者的心理痛苦,改善生活质量和睡眠质量。更多还原

【Abstract】 Objective To investigate the effect of cognitive behavioral therapy on the quality of life,quality of sleep and psychological distress of laryngeal cancer patients after operation.Methods A toltal of 105 laryngeal cancer patients in Fujian Cancer Hospital were selected from January 2015 to October 2019 as research objects,and divided into two groups by randomization.Because two patients could not go through the cognitive behavioral therapy during the intervention as plan,one patient was out of touch,105 patients accomplished the study in the end.They were divided into the research group containing 51 patients and the control group containing 54 patients.The control group was given routine nursing,while the research group was given cognitive behavioral intervention on the basis of routine nursing.Quality of life,quality of sleep and distress were measured by the Functional Assessment of Cancer Therapy-generic Scale(FACT-G),Pittsburgh Sleep Quality Index(PSQI)and Distress Thermometer(DT).Results There were no significant differences in age,gender,educational level,body mass index,surgery method and pathological stage between the two groups(P>0.05).The total score and scores of sleep quality in the control group were higher than those in the research group,the quality of life in the control group was lower than that in the study group,and the score of psychological pain was higher than that in the research group after intervening(P<0.05).Conclusion The cognitive behavioral therapy can effectively reduce the psychological pain of laryngeal cancer patients after surgery and improve the quality of life and their sleep.更多还原