认知行为治疗对头颈部肿瘤患者生存质量的效果研究

The study of the effect of cognitive behavioral therapy to the quality of life in patients of head and neck cancer

探讨认知行为治疗对头颈部肿瘤患者的生存质量的影响。方法:将43例抑郁症患者用随机数字法分为研究组21例(认知行为治疗,CBT)和对照组22例(支持性咨询),疗程为8周,采用EORTCQLQ—C30生存质量量表在躯体功能、角色功能、情绪功能、认知功能、社会功能及整体健康状况等5个方面分别对常规组和干预组患者生活质量进行评定,并进行统计学分析。结果:治疗后第8周末,研究组EORTCQLQ—C30生存质量量表评分显著高于对照组(P〈0.01),差异有统计学意义。结论:认知行为治疗有有效提高头颈部肿瘤患者的生存质量。

Objective: To investigate the efficacy of cognitive behavioral therapy to the quality of life in patients of head and neck cancer. Meth- otis: A total of 43 patients were randomly divided into cognitive behavioral therapy group (CBT)and supportive counseling group(SC). All patients were evaluated with EORTC QLQ - C30 before therapy and also were evaluated after the 8 - week therapy. Results: Before therapy, there is no difference between the EORTC QLQ - c30 scores of the two groups. And the scores of EORTC QLQ - c30 in the study groups was significantly higher than those in the control group after therapy. Conclusion: CBT takes effects to the aualitv of life in natients ofhead an d neck cancer.