基于认知行为疗法的院外护理干预对单纯雄激素剥夺治疗的前列腺癌患者影响

The effect of out-of-hospital nursing intervention based on cognitive behavioral therapy on prostate cancer patients treated with androgen deprivation alone

目的研究基于认知行为疗法(CBT)的院外护理干预对单纯雄激素剥夺治疗的老年前列腺癌患者跌倒风险的影响,为提高此类患者的护理质量提供临床依据。方法将2018年10月至2019年10月我院符合纳入标准的120例诊断为前列腺癌并行单纯雄激素剥夺治疗的患者,随机分成观察组与对照组,每组各60例,对照组患者给予常规护理;观察组患者在常规护理基础上,实施基于CBT的院外护理干预。出院12周后,采用Herth希望量表了解两组患者的希望水平。采用Berg平衡量表观察两组患者的平衡情况以判断其跌倒风险;采用生活质量评价量表SF-36了解两组患者的生活质量情况;采用自制满意度问卷调查表比较两组患者对护理质量的满意度。结果观察组患者的希望水平、平衡功能、生活质量评分及对护理工作的满意度均高于对照组,差异有统计学意义(P<0.05)。结论对离院后单纯雄激素剥夺治疗的老年前列腺癌患者进行基于CBT的院外护理干预,可以减少患者的负面情绪,提高希望水平和生活质量,有效降低跌倒的发生风险,提高患者对护理质量的满意度,值得在临床工作中推广应用。

Objective To study the effect of out-of-hospital nursing intervention based on cognitive behavioral therapy(CBT)on the risk of falls in elderly prostate cancer patients treated with androgen deprivation therapy,and to provide clinical evidence for improving the quality of care for such patients.Methods A total of 120 patients diagnosed with prostate cancer and treated with simple androgen deprivation treatment in our hospital from October 2018 to October 2019 were randomly divided into an observation group and a control group,with 60 cases in each group.The control group was given routine care.The observation group was treated with CBT-based out-of-hospital care intervention based on routine care.After 12 weeks of discharge,the Herth Hope Scale was used to understand the hope levels of the two groups.The Berg balance scale was used to observe the balance of the two groups of patients to judge their risk of falling.The quality of life evaluation scale SF-36 was used to understand the quality of life of the two groups.A self-made satisfaction questionnaire was used to compare the two groups of patients′satisfaction with the quality of care.Results The hope level,balance function,quality of life score,and satisfaction with nursing work of the observation group were higher than those of the control group,and all the differences were statistically significant(P<0.05).Conclusion CBT-based out-of-hospital nursing intervention for elderly prostate cancer patients treated with androgen deprivation treatment after discharge from the hospital can reduce the patients′negative emotions,improve the level of hope and quality of life,effectively reduce the risk of falls,and improve the patients′satisfaction with the quality of care.It is worthy of promotion and application in clinical work.