认知行为矫正技术对肿瘤患者癌因性疲乏的干预效果

The intervention effect of cognitive behavior modification on cancer-related fatigue in patients with cancer

目的探讨认知行为矫正技术干预肿瘤患者癌因性疲乏的效果。方法选择2015年11月~2017年8月解放军309医院肿瘤科收治的患者120例作为研究对象,按照随机数字表法将其分为实验组及对照组,每组各60例。对照组采用常规护理方法,实验组在对照组基础上给予认知行为矫正技术,两组均干预8周。采用Piper疲乏修正量表和癌症患者生命质量测定量表(QLQ-C 30)比较两组患者的疲乏程度和生活质量。结果干预前两组癌因性疲乏程度和生活质量评分比较,差异无统计学意义(P>0.05)。干预后实验组癌因性疲乏程度和生活质量评分均优于干预前和同期对照组,差异均有统计学意义(P<0.05),而对照组干预前后上述指标比较,差异无统计学意义(P>0.05)。结论认知行为矫正技术能有效改善癌症患者的癌因性疲乏程度,提高生活质量,值得临床推广应用。

Objective To explore the intervention effect of cognitive behavior modification on cancer-related fatigue in patients with cancer. Methods From November 2015 to August 2017, 120 cases of patients admitted to Department of Oncology, the 309 th Hospital of Chinese People＇s Liberation Army were selected as the research objects and divided into the control group and the experimental group by the random number table, with 60 cases in each group. The control group was given routine nursing care and the experimental group was given cognitive behavior modification on the bases of control group. Both of the groups were intervened for 8 weeks. revised Piper fatigue scale and the European organization for research and treatment of cancer（EORTC） QLQ-C 30 were applied to evaluate the degree of fatigue and life quality of the patients. Results There were no statistically significant differences in the degree of fatigue and the score of life quality before intervention between the two groups（P〉0.05）. After intervention, the indexes above in the experimental group were all better than those of before intervention and the same period of control group, with statistically significant differences（P〈0.05）; but there was no statistically significant difference in the control group before and after intervention（P〉0.05）. Conclusions Cognitive behavior modification can effectively improve the degree of fatigue and improve the life quality of the patiens. It is worthy of clinical promotion and application.