认知-信念-行为递进式干预对食管癌放疗患者生存质量和人格特征的影响

Effects of progressive intervention of cognition-belief-behavior on quality of life and personality of patients with esophageal cancer radiotherapy

目的探讨认知-信念-行为递进式干预对食管癌放疗患者的生存质量和人格特征的影响。方法选取2016年5月至2017年4月该院收治的行放射治疗的食管癌患者63例为对照组,开展常规干预;选取2017年5月至2018年4月该院收治的行放射治疗的食管癌患者63例为研究组,开展基于认知-信念-行为递进式干预。借助艾森克人格问卷、食管癌生存质量量表作为测评工具,对两组患者干预前后的人格特征变化、生存质量和自我管理水平进行比较。结果干预后,研究组生存质量评分均高于对照组,差异有统计学意义(P<0.05);研究组神经质、精神质和掩饰性评分均低于对照组,内外向评分高于对照组,差异有统计学意义(P<0.05);研究组各项与血糖控制相关的自我管理能力评分高于对照组,差异有统计学意义(P<0.05)。结论食管癌放疗患者引入基于认知-信念-行为递进式干预,能提高患者的生存质量及改善人格特征,取得较为可观的临床效果。

Objective To explore the effects of progressive intervention of cognition-belief-behavior on quality of life and personality of patients with esophageal cancer radiotherapy.Methods A total of 63 patients with esophageal cancer treated with radiotherapy from May 2016 to April 2017 were selected as the control group to carry out routine intervention.Sixty-three patients with esophageal cancer treated with radiotherapy from May 2017 to April 2018 were selected as the study group to conduct progressive intervention based on cognition-belief-behavior.Using Eysenck Personality Questionnaire and Esophageal Cancer Quality of Life Scale as assessment tools,the changes of personality characteristics,quality of life and self-management level of the two groups were compared before and after intervention.Results After intervention,the quality of life score of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The scores of neuroticism,psychoticism and dissemble in the study group were lower than those in the control group,and the scores of introversion and extraversion were higher than those in the control group,with statistically significant differences(P<0.05).The scores of self-management ability related to blood glucose control in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions Introduction of progressive intervention based on cognition-belief-behavior in patients with esophageal cancer radiotherapy can improve the quality of life and personality,and achieve considerable clinical effects.