摘要
目的:观察认知行为疗法对乳腺癌患者化疗后的生活质量的影响。方法:选取收治的乳腺癌患者90例为研究对象,随机分为观察组和对照组,每组45例,对照组仅采用化学药物治疗,观察组患者在化疗基础上辅以认知行为疗法。根据乳腺癌治疗功能评估量表得分,评价2组患者的治疗效果。结果:经认知行为治疗后,观察组的生理状况、功能状况、社会/家庭状况、情感状况、附加关注得分以及QOL总分与对照组比较,差异有统计学意义(P<0.05)。结论:认知行为疗法明显能帮助乳腺癌患者克服抑郁、悲观等不良情绪,对患者的生活质量有显著的提高作用,值得在临床上进一步推广应用。
Objective:To observe the effect of cognitive behavioral therapy(CBT) on quality of life after chemotherapy for breast cancer patients.Methods:90 patients with breast cancer in a hospital were selected and were randomly divided into an observation group and a control group,45 cases in each.The patients in the control group underwent chemotherapy,and those in the control group were treated with CBT on the basis of the chemotherapy.The therapeutic effect was compared between the two groups according to the evaluation score of Functional Assessment of Cancer Therapy-Breast(FACT-B).Results:After the cognitive behavioral therapy,compared with the control group,the physiological status,functional status,social/family status,emotional state,additional focus scores and QOL scores in the observation group were greatly improved with statistical significance(P〈0.05).Conclusion:CBT can significantly help breast cancer patients overcome bad emotions,such as depression and pessimism and improve patients' quality of life with significant effect.It is worthy of further popularization and application in clinical practice.
作者
朱俊琳
ZHU Jun-lin.(Oncology Department, The First Affiliated Hospital of Nanyang Medical College, Henan 473000, Chin)
出处
《淮海医药》
CAS
2017年第6期642-643,646,共3页
Journal of Huaihai Medicine
关键词
乳腺肿瘤
认知行为疗法
生活质量
Breast cancer
Cognitive behavioral therapy
Quality of life