团体认知行为疗法对行宫颈锥切手术患者术后生活质量与自我管理影响

Application of ‘Group Cognitive Behavioral Therapy'in Life Quality and Personal Management of Women with Cervical Conization

目的观察团体认知行为疗法在宫颈锥切手术患者中的应用效果。方法 156例行宫颈锥切手术后的宫颈上皮内瘤变患者,随机分为对照组和观察组各78例,对照组给予常规术后护理方案,观察组在常规护理的基础上给予团体认知行为疗法,分析两组患者术后并发症情况、复发情况,自我效能评分和生活质量评分情况。结果经过术后干预,观察组并发症发生率和复发率均低于对照组;对照组术后3个月、6个月及12个月的自我效能评分和术后1年的生活质量评分均低于观察组,差异具有统计学意义(P<0.05)。结论团体认知行为疗法能够减少宫颈锥切手术患者的术后并发症、降低术后复发率、提高患者自我管理效能和术后生活质量。

Objective To observe the effect of ‘group cognitive behavioral therapy＇（ GCBT） in life quality and personal management of women with cervical conization. Methods 156 patients of cervical intraepithelial neoplasia having been subjected to cervical conization were firstly chosen as the subjects of study and then randomly divided into a control group（ n= 78） and an observation group（ n= 78）. The control group was treated with conventional postoperative care while the observation group was treated with GCBT in addition to the routine care as given to the control. The postoperative complications,recurrence,self-efficacy scores and life quality scores as observed in the two groups were analyzed. Results After the intervention,the rates of complications and recurrence of the observation group were lower than those of the control group. The scores of self-efficacy of the control group as observed 3 months,6 months and 12 months after operation and quality of life scores 12 months after operation were lower than those of the observation group. The difference was statistically significant（ P〈 0. 05）. Conclusions GCBT can reduce the postoperative complications of patients subjected to cervical conization,reduce the recurrence rate and improve the self-management efficacy and postoperative quality of life of the patients.