认知行为压力管理对乳腺癌患者益处发现、负性情绪及生活质量水平的影响

The influence of cognitive-behavioral stress management on benefit finding,negative emotions and quality of life in patients with breast cancer

目的:探讨认知行为压力管理对乳腺癌患者益处发现、负性情绪及生活质量的影响。方法:选取2018年1月~2019年9月期间在本院住院并行手术化疗的乳腺癌患者94例为研究对象,采用随机数字表法分为对照组、干预组各47例。给予两组患者常规治疗护理,干预组在此基础上还接受为期10周的认知行为压力管理干预。采用BFS-C、SAS、SDS、FACT-B在基线调查、入组10周、入组14周时测量患者的益处发现、焦虑、抑郁和生活质量水平。结果:干预前两组一般资料、BFS-C、SAS、SDS、FACT-B得分差异均无统计学意义;干预后经重复测量方差分析显示:两组焦虑抑郁总分的时间主效应差异有统计学意义,干预与时间的交互作用差异均有统计学意义,干预组的焦虑抑郁总分降幅大于对照组;两组除社会家庭领域维度外,生命质量总分及其他维度得分时间主效应差异均有统计学意义,生命质量总分及功能状况维度得分的交互作用差异均有统计学意义,干预组生命质量总分及功能状况维度得分的增幅大于对照组;两组益处发现总分及其他各维度得分时间主效应差异均有统计学意义,益处发现总分及其他各维度得分交互作用差异均有统计学意义,干预组益处发现总分及各维度得分的增幅大于对照组。结论:认知行为压力管理可以引导乳腺癌患者的积极心理,提高益处发现水平,缓解负性情绪,改善其生活质量。

Objective To explore the impact of cognitive-behavioral stress management on benefit finding,negative emotions and quality of life in patients with breast cancer.Methods Ninety-four patients with breast cancer who were hospitalized and postoperative chemotherapy in our hospital between January 2018 and September 2019 were selected and divided into a control group and an intervention group according to the random number table method with 47 patients in each group.The two groups of patients received routine nursing.At the same time,the intervention group also received a 10-week cognitive-behavioral stress management intervention.BFS-C,SAS,SDS and FACT-B were used to measure patient benefit finding,anxiety,depression and quality of life at baseline,within 10 weeks enrolled and 14 weeks enrolled.Results There were no statistical significant in the general data,BFS-C,SAS,SDS and FACT-B scores between the two groups before intervention.Repeated measures analysis of variance showed that the time-effect difference of the total score of anxiety and depression were statistically significant.There was a statistically significant difference in the interaction between intervention and time.The total score of anxiety and depression in the intervention group were greater than that of the control group.In addition to the social family dimension,the difference in the main effects of total quality of life and other dimensions were statistically significant.There was a significant difference in the interaction score between the total score of life quality and functional status.The increase in the total score of the quality of life and functional status of the intervention group was greater than that of the control group.The difference between the main results of the score of the total score and the other dimensions was statistically significant.The total score and other dimensions score interaction differences of benefit finding have a statistical significance.The benefit finding of the intervention group was that the total score and the score of each dimension increased more than the control group.Conclusion Cognitive-behavioral stress management can make the breast cancer patients have a positive psychological,improve the level of benefit finding,effectively relieve negative emotions and improve their quality of life.