认知疗法对宫颈癌同步放化疗患者遵医行为及生活质量的影响

Effect of cognitive therapy on compliance behavior and quality life of cervical cancer patients' accepting chemoradiotherapy

目的探讨认知疗法在同步放化疗肿瘤患者中的应用效果。方法将重庆市肿瘤医院妇瘤科2013年1月至2014年1月间收治的接受同步放化疗的60例宫颈癌患者随机分为观察组和对照组,每组各30例。对照组患者采用常规护理,观察组患者在对照组的基础上采用认知疗法。比较两组患者的健康信念、遵医行为、不良反应及生活质量。结果观察组患者在重视疾病、了解同步放化疗的重要性及信任医护人员的健康信念方面高于对照组,遵医行为好于对照组,不良反应程度轻于对照组,差异均有统计学意义(P<0.05)。观察组患者在角色受限、躯体疼痛、总体健康、生命活力等方面的生活质量高于对照组,差异有统计学意义(P<0.05)。结论认知疗法可帮助宫颈癌同步放化疗患者建立正确的疾病认知,并提高患者的遵医行为和生活质量。

Objective To investigate the effect of cognitive therapy on compliance behavior and quality life of cervical cancer patients＇ accepting chemoradiotherapy. Methods In radiology Department of Chongqing Cancer Hospital, From Jan 2013 to Jan 2014, 60 cervical cancer patients accepting chemoradio- therapy were randomly divided into the observation group and the control group. The patientd in the control group accepted routine nursing, and those in the observation group accepted cognitive therapy. The health belief, compliance, side effects and quality of life were compared between the two groups. Results The focus on disease, understanding the importance of concurrent chemoradiotherapy, and trusting in the medi- cal staff＇s health beliefs of the observation group were higher than those of the control group ; the compliance behavior of the observation group was better than that of the control group ; the toxic side reaction of the ob- servation group was less than that of the control group, with statistical significance （ P 〈 0. 05 ）. About quality of life, role limitations, body pain, general health, vitality and other aspects of the observation group were higher than those of the control group, with statistical significance （ P 〈 0. 05 ）. Conclusions Cogni- tive therapy could help cervical cancer patients accepting chemoradiotherapy to build correct cognitive, im- prove the synchronous discharge compliance behavior and quality of life.