摘要
目的:探讨基于压力与应对理论的认知应对干预对结直肠癌化疗患者的影响。方法:选取2020年10月—2021年10月福建中医药大学附属人民医院收治的80例结直肠癌化疗患者作为研究对象。随机将其分为认知干预组(n=40)和常规护理组(n=40)。常规护理组给予常规护理,认知干预组在常规护理组的基础上给予基于压力与应对理论的认知应对干预。比较两组护理前后认知程度及焦虑、睡眠、生活质量及疼痛程度。结果:护理后,认知干预组认知程度评分高于常规护理组,焦虑自评量表(self-rating anxiety scale,SAS)评分、匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分均低于常规护理组,差异有统计学意义(P<0.05)。护理后,认知干预组中文版大肠癌生命质量量表(functional assessment of cancer therapy-colorectal Chinese version,FACT-C)评分高于常规护理组,视觉模拟评分法(visual analogue scale,VAS)评分低于常规护理组,差异有统计学意义(P<0.05)。结论:基于压力与应对理论的认知应对干预可以改善结直肠癌化疗患者的情绪,降低疼痛程度,提升患者的生活质量。
Objective:To explore the effect of cognitive coping intervention based on stress and coping theory on colorectal cancer chemotherapy patients.Method:A total of 80 patients undergoing colorectal cancer chemotherapy admitted to the People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine from October 2020 to October 2021 were selected as the study objects.They were randomly divided into cognitive intervention group(n=40)and conventional nursing group(n=40).The conventional nursing group was given routine nursing,and the cognitive intervention group was given cognitive coping intervention based on stress and coping theory.Cognitive degree,anxiety,sleep,quality of life and pain degree were compared between the two groups before and after nursing.Result:After nursing,the cognitive degree score of the cognitive intervention group was higher than that of the conventional nursing group,and the self-rating anxiety scale(SAS)score and Pittsburgh sleep quality index(PSQI)score were lower than those of conventional nursing group,and the differences were statistically significant(P<0.05).After nursing,the functional assessment of cancer therapy-colorectal Chinese version(FACT-C)score of the cognitive intervention group was higher than that of conventional nursing group,and visual analogue scale(VAS)score was lower than that in the conventional nursing group,and the differences were statistically significant(P<0.05).Conclusion:Cognitive coping intervention based on stress and coping theory can improve the mood of patients undergoing colorectal cancer chemotherapy,reduce the degree of pain and improve the quality of life of patients.
作者
甘萍萍
GAN Pingping(People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350004,China)
出处
《中外医学研究》
2023年第20期91-94,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
结直肠癌
基于压力与应对理论的认知应对干预
情绪
生活质量
Colorectal cancer
Cognitive coping intervention based on stress and coping theory
Emotion
Quality of life
