认知行为护理干预对改善乳腺癌术后患者焦虑抑郁情绪的影响

Influence of cognitive-behavioral nursing intervention on improving anxiety and depression of patients after breast cancer surgery

目的研究认知行为护理干预对改善乳腺癌术后患者焦虑抑郁情绪的效果。方法 60例乳腺癌术后患者被随机分为干预组和对照组,每组各30例。对照组采用常规护理,干预组在此基础上采用认知行为护理,干预4周。干预前后分别采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、症状自评量表(SCL-90)作为工具进行评价。结果认知行为护理干预后,干预组SAS、SDS、SCL-9评分均较干预前显著降低,且与对照组比较,差异有统计学意义(P<0.05)。结论认知行为护理干预能显著改善乳腺癌术后患者焦虑抑郁情绪,改善患者心理健康水平,提高生活质量,具有较好的临床应用价值。

Objective To study the effects of cognitive-behavioral nursing intervention on improving the anxiety and depression of patients after breast cancer surgery.Methods 60 patients with breast cancer were randomly divided into the intervention group and the control group with 30 patients in each group respectively.The control group received conventional nursing,while the intervention group received cognitive-behavioral nursing intervention for 4 weeks on the basis of the control group.Before and after the intervention,self-rating anxiety scale（SAS）,self-rating depression scale（SDS） and self-rating symptom scale（SCL-90） were used as the evaluation tools.Results After cognitive-behavioral nursing intervention,the SAS,SDS,SCL-9 scores all significantly lowered than before intervention in the intervention group（P 0.05）;while compared with the control group,the differences were statistically significant（P 0.05）.Conclusion Cognitive-behavioral nursing intervention can significantly improve the anxiety and depression of patients after breast cancer surgery,improve patients＇ psychological health and their quality of life,which has good clinical value.