认知行为护理干预对脑肿瘤患者生活质量的影响

The Effect of Cognitive Behavior Intervention on Improving Life Quality of Patients After Brain Surgery

目的探索认知行为干预对脑肿瘤患者术后生活质量的影响。方法选择2015年6月—2017年6月进行脑肿瘤手术的128例患者,随机分为观察组和对照组。对照组在术后均进行常规护理,观察组在对照组基础上进行认知干预护理。每周1次,每次30~60 min,持续12 w。采用QLQ-C30评估认知行为干预对患者生活质量的影响,SAS评分和SDS评分评估患者焦虑和抑郁情绪的改善效果。结果与干预前比较,患者的躯体功能、角色功能、认知功能、情绪功能、社会功能以及整体生活质量水平均得到显著改善(P<0.05),与对照组比较有显著性差异(P<0.05)。干预后患者SAS评分和SDS平均都有显著改善(P<0.05),与对照组比较有显著性差异(P<0.05)。结论认知行为护理干预脑肿瘤患者术后治疗模式可明显改善患者焦虑、抑郁情绪,提高患者生活质量。

Objective To explore the effect of cognitive behavioral intervention on postoperative quality of life in patients with brain tumors. Methods A total of 128 patients underwent brain tumor surgery from June 2015 to June 2017 were randomly divided into observation group and control group. The control group was treated with routine nursing after operation.The observation group was treated on the basis of cognitive intervention once a week for 30-60 minutes for 12 weeks. The effect of cognitive behavioral intervention on the quality of life of patients was assessed by QLQ-C30. SAS scores and SDS scores were used to assess the effect of anxiety and depression in patients. Results Compared with pre-intervention,the patient＇s physical function,role function,cognitive function,emotional function,social function and overall quality of life were significantly improved（ P 〈0. 05）. The SAS score and SDS were significantly improved in observation group（ P〈 0. 05）. Conclusion Cognitive behavioral nursing intervention in patients with brain tumor after treatment can significantly improve the patient＇s anxiety and depression,improve the quality of life of patients.