认知行为护理干预对乳腺癌化疗患者癌因性疲乏及自我效能的影响

The Effect of Cognitive Behavioral Nursing Intervention on Cancer-related Fatigue and Self-efficacy of Breast Cancer Patients Undergoing Chemotherapy

目的探讨认知行为护理干预对乳腺癌化疗患者癌因性疲乏及自我效能的影响。方法选取2019年1—12月于该院接受化疗的85例乳腺癌患者为研究对象,依据随机数表法将入选者分为两组,分别为对照组(42例)与观察组(43例)。对照组进行常规护理,观察组进行认知行为护理。两组均连续干预3个月,观察两组干预前后癌因性疲乏、自我效能及认知功能。结果干预3个月后,观察组躯体疲乏(11.43±2.36)分、情感疲乏(5.02±1.86)分、认知疲乏(4.89±1.79)分评分低于干预前,且低于对照组(15.63±3.18)分、(6.79±2.31)分、(6.23±2.41)分,差异有统计学意义(t=6.926、3.896、2.915,P<0.05);干预3个月后,两组正面态度、自我决策、自我减压评分均高于干预前,且观察组正面态度(59.75±10.86)分、自我决策(12.36±2.23)分、自我减压(36.59±8.47)分评分高于对照组,差异有统计学意义(t=5.232、4.350、3.929,P<0.05);干预3个月后,两组认知功能评分均高于干预前,且观察组(121.51±9.86)分高于对照组(112.35±10.24)分,差异有统计学意义(t=4.202,P<0.05)。结论认知行为护理干预可有效减轻乳腺癌化疗患者癌因性疲乏,提升自我效能,提高认知功能。

Objective To explore the effect of cognitive behavioral nursing intervention on cancer-related fatigue and self-efficacy of breast cancer patients undergoing chemotherapy.Methods Eighty-five breast cancer patients who received chemotherapy in the hospital from January to December 2019 were selected as the research objects.According to the random number table method,the selected patients were divided into two groups,namely the control group(42 cases)and the observation group(43 cases).The control group received routine care,and the observation group received cognitive behavioral care.Both groups intervened continuously for 3 months.Cancer-related fatigue,self-efficacy and cognitive function were observed before and after intervention in the two groups.Results After 3 months of intervention,the scores of physical fatigue(11.43±2.36)points,emotional fatigue(5.02±1.86)points and cognitive fatigue(4.89±1.79)points in the observation group were lower than before the intervention,and lower than the control group(15.63±3.18)points,(6.79±2.31)points,(6.23±2.41)points,the difference was statistically significant(t=6.926,3.896,2.915,P<0.05);after the intervention for 3 months,the two groups of positive attitude,self-decision,and self-decompression scores were all higher than before the intervention,and the positive attitude(59.75±10.86)points,self-decision-making(12.36±2.23)points,and self-decompression(36.59±8.47)points of the observation group were higher than those of the control group,the difference was statistically significant(t=5.232,4.350,3.929,P<0.05);after 3 months of intervention,the cognitive function scores of the two groups were higher than those before the intervention,and the observation group(121.51±9.86)points was higher than that of the control group(112.35±10.24)points,and the difference was statistically significant(t=4.202,P<0.05).Conclusion Cognitive behavioral nursing intervention can effectively reduce cancer-related fatigue in breast cancer patients undergoing chemotherapy,enhance self-efficacy,and improve cognitive function.