认知行为干预对肺癌化疗患者主要照顾者照顾负担的影响

Impact of cognitive behavior intervention on the burden of caregivers for lung cancer patients with chemotherapy

目的：探讨认知行为干预对肺癌化疗患者主要照顾者照顾负担的影响。方法：根据ZBI护理负担量表计分标准，将计分≥40分的93例肺癌住院化疗患者的主要照顾者随机分为实验组47例和对照组46例，对照组仅接受医院常规宣教，实验组在此基础上接受认知行为干预，每周1次，每次30～60min，共10周。以ZBI护理负担量表评定干预前后主要照顾者的照顾负担。结果：干预结束后，实验组个人负担、责任负担得分及ZBI总分均低于对照组（P〈0．05）；重复测量方差分析，不同时间及组间评分比较，差异有统计学意义（P〈0．01）。结论：认知行为干预可降低肺癌化疗患者主要照顾者的照顾负担。

Objective：To explore the impact of cognitive behavior intervention on the burden of caregivers for lung cancer patients with chemotherapy. Methods ： The caregivers for care of 93 hospitalized lung cancer patients were randomly divided into the experimental group （ n = 47 ） and the control group （ n = 46 ） according to the scoring criteria of ZBI caregiver burden interview scale. The burden scores of all participants were ≥ 40. The caregivers in the control group only received routine hospital propaganda and education and the earegivers in the experimental group were provided cognitive behavior intervention based on the routine one, once a week and 30 - 60 minutes each time, the intervention lasted 10 weeks. The ZBI scale was used to assess the burden of earegivers before and after the intervention. Results： After the intervention,the score of personal burden and burden of responsibility and the total score of ZBI were lower in the experimental group than the control group （ P 〈 0.05 ） ; Repeated measurement analysis of variance, the scores between the different time and the group difference were statistically significant{ P 〈 0.01 ）. Conclusion：The cognitive behavior intervention can reduce the burden of caregivers for care of lung cancer patients with chemotherapy.