认知行为疗法对乳腺癌化疗患者生活质量的影响

The Psychological State of Patients with Breast Cancer Treated by Chemotherapy and the Influence of Active Cognitive Behavior Therapy on the Quality of Life

目的分析乳腺癌化疗患者的心理状态及实施积极认知行为疗法对其生活质量的影响。方法将82例乳腺癌化疗患者随机分为两组,对照组40例采用常规乳腺癌化疗方法,观察组42例在对照组的基础上实施积极认知行为疗法,比较分析两组患者的心理状态、生活质量情况。结果采用Zung焦虑量表(SAS)、抑郁量表(SDS)评定患者心理状态显示,治疗后观察组SAS、SDS评分均明显优于对照组(P<0.05);采用诺丁汉健康调查问卷(NHP)对两组患者的生活质量进行评价,治疗后观察组患者的生活质量明显优于对照组,组间差异具有统计学意义(P<0.05)。结论对乳腺癌化疗患者实施积极认知行为疗法临床效果肯定,可以明显改善患者的心理状态及生活质量,提高患者的生存质量。

Objective To investigate the psychological state of patients with breast cancer treated by chemotherapy and the influence of active cognitive behavior therapy on the quality of life. Methods 82 patients with breast cancer treated by chemo- therapy were randomly divided into two groups, the control group （40 cases ） adopted by conventional breast cancer chemotherapy, and the observation group（42 cases） adopted active cognitive behavior therapy on the basis of control group, the psychological state and quality of life of two groups were compared and analyzed. Results Zung Anxiety Scale （ SAS）, the depression scale （SDS） were used to assess the psychological state of two groups patients, after treatment, the SAS and SDS scores of observation group were significantly better than those of the control group（ P 〈 0.05 ） ;Nottingham Health Survey （NHP） were used to assess the quality of life evaluation of two groups of patients, after treatment, the NHP scores of observation group were significantly better than those of the control group（ P 〈 0.05 ）. Conclusion Active cognitive behavior therapy on the patients with breast cancer treated by chemotherapy had definite clinical effect, which can significantly improve patients＇ psychological state and quality of life, and improve the quality of life of patients.