基于知信行理念的认知干预对放射治疗肺癌患者认知水平及负性情绪的影响

Effect of cognitive intervention based on conception of knowledge and belief on cognition level and negative moods

目的探讨基于知信行理念的认知干预对放射治疗(简称放疗)肺癌患者认知水平及负性情绪的影响。方法选取本院2014年3月至2015年11月收治的84例肺癌放疗患者,采用随机数字表法将患者随机分为研究组和对照组,每组各42例。对照组患者给予常规护理,研究组在对照组基础上给予基于知信行理念的认知干预。干预前及干预后第4周末比较两组患者知识、信念、行为评分,自我护理能力及焦虑、抑郁评分情况。结果两组患者干预前知识、信念、行为与自我护理能力各维度及焦虑、抑郁评分比较,差异无统计学意义(均P>0.05);两组患者干预后知识、信念、行为与自我护理能力各维度及焦虑、抑郁评分比较,差异具有统计学意义(均P<0.05),研究组患者知识、信念、行为自我护理各维度评分明显高于对照组,焦虑、抑郁评分明显低于对照组。结论对放疗肺癌患者给予基于知信行理念的认知干预,有助于提高患者知识、信念、行为水平,减轻其焦虑、抑郁情绪,值得在临床上推广应用。

Objective To explore the effect of cognitive intervention based on conception of knowledge and belief on cognition level and negative moods in the lung cancer patients undergoing radiotherapy.Methods Toally 84 lung cancer patients hospitalized in our hospital from March 2014 to November 2015 were equally divided into the study group and the control group by a random digit table.The control group received the traditional model of nursing,while the study group was treated with cognition intervention based on conception of knowledge and belief as well as the same routine care as in the control group for 4 weeks.Before and after 4 weeks intervention,the two groups were compared in terms of their knowledge,belief,behaviors,self care ability,depression and anxiety.ResultsBefore intervention,there were no significant differences between the two groups in terms of their knowledge,belief,behaviors,self care ability,depression and anxiety（all P0.05）.After the intervention,the scores on knowledge,belief,behavior and self care ability in the study group were all significantly higher than those of the control group and the scores on anxiety and depression were both statistically significantly lower than those of the control group（all P0.05）.Conclusion The cognition intervention based on conception of knowledge and belief on cognition level and negative moods to the lung cancer patients is effective in improvement of their knowledge,belief,behavior as well as in alleviation of their anxiety and depression.