摘要
目的探讨肺癌患者介入治疗期间认知行为干预方法及其应用效果,结合患者癌性疲乏及生存质量的改善情况进行评价。方法选取我院2018-01-01-2018-08-31期间收治的70例肺癌患者作为研究对象,分析患者的临床资料。接受认知行为干预的32例患者作为观察组,接受常规干预的38例患者作为对照组。采用简短疲乏量表(The Brief Fatigue Inventory,BFI)评价患者癌性疲乏情况,采用欧洲癌症研究与治疗组织的生存质量核心量表(EORTC QLQ-C30)评价患者生存质量,汉密尔顿抑郁量表(HAMD)评价患者心理状态。结果干预后无癌性疲乏患者观察组为8例(25%),对照组为2例(5.26%),χ^(2)=11.125,P<0.001;轻度癌性疲乏患者观察组为17例(53.13%),对照组为14例(36.84%),χ^(2)=8.365,P<0.001;观察组患者干预后各维度癌性疲乏改善程度均要优于对照组,差异均有统计学意义,P均<0.001。干预后生存质量评分观察组为(85.62±5.13)分,对照组为(72.43±5.89)分,差异有统计学意义,t=2.48,P<0.05。干预后HAMD评分观察组为(11.33±2.09)分,对照组为(16.24±2.16)分,差异有统计学意义,t=2.35,P<0.05。结论肺癌患者介入治疗期间认知行为干预可以有效改善癌性疲乏及生存质量。
Objective To detect the method of cognitive behavioral intervention for lung cancer patient treated by using interventional therapy,and its effect on cancer related fatigue and living quality.Methods Totally 70 lung cancer patients were selected from Shandong Cancer Hosptital,2018-01-01-2018-08-31.The clinical database of all the patients was analyzed.All the patients were divided into observation group(n=32,recieving cognitive behavioral intervention)and control group(n=38,recieving conventional intervention).The Brief Fatigue Inventory(BFI),EORTC QLQ-C30 and HAMD evaluation scales were used.Results There were 8 patients(25%)without cancer related fatigue in observation group,and2 patients(5.26%)in control group(χ^(2)=11.125,P<0.001).There were 17 patients(53.13%)with mild cancer related fatigue in observation group,and 14 patients(36.84%)in control group(χ^(2)=8.365,P<0.001).The improvement of cancer related fatigue in observation group was better than that in control group(all P<0.001).The living quality score after intervention of observation group was 85.62±5.13,while that of control group was 72.43±5.89(t=2.48,P<0.05).The HAMD score after intervention of observation group was 11.33±2.09,while that of control group was16.24±2.16(t=2.35,P<0.05).Conclusion The cognitive behavioral intervention for lung cancer patient treated by using interventional therapy,can improve the cancer related fatigue and living quality.
作者
聂胜男
郭芳
宋冬华
Nie Sheng-nan;GUO Fang;SONG Dong-hua(Shandong Cancer Hospital and Institute,Shandong First Medical University and Shandong Academy of Medical Sciences,Jinan 250117,China)
出处
《社区医学杂志》
CAS
2021年第6期388-390,共3页
Journal Of Community Medicine
关键词
肺癌
介入治疗
癌性疲乏
生存质量
认知行为干预
lung cancer
interventional therapy
cancer related fatigue
living quality
cognitive behavioral intervention
