团体认知行为护理在改善小儿白血病化疗患者心理状态及睡眠质量中的作用

Group Cognitive Behavior Nursing in Improving Psychological Status and Sleep Quality of Children with Chemotherapy for Pediatric Leukemia

目的:探究团体认知行为护理干预对白血病化疗患儿心理状态及睡眠质量的改善作用。方法:选取2020年1月至12月厦门大学附属第一医院收治的白血病患儿80例作为研究对象,随机分为观察组和对照组,每组40例。对照组采用常规护理,观察组采用团体认知行为护理;比较2组患者护理前后的心理状态[汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)]及睡眠质量[匹兹堡睡眠质量指数(PSQI)]。结果:护理前,2组患者HAMA评分及HAMD评分比较,差异均无统计学意义(均P>0.05),护理后,观察组的HAMA评分、HAMD评分及PSQI评分均显著低于对照组,差异均有统计学意义(均P<0.05)。结论:团体认知行为护理可显著改善白血病化疗患儿的焦虑、抑郁等负性情绪,提升睡眠质量,值得临床推广应用。

Objective:To explore the improvement effect of group cognitive behavior nursing intervention for psychological state and sleep quality of pediatric leukemia chemotherapy.Methods:A total of 80 children with leukemia admitted to First Affiliated Hospital of Xiamen University from January 2020 to December 2020 were selected as research subjects,and were randomly divided into observation group(group cognitive behavior nursing intervention)and control group(routine nursing),with 40 cases in each group.Then the psychological state[Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)]before and after the nursing and sleep quality[Pittsburgh Sleep Quality Index(PSQI)]of two groups were compared.Results:The HAMA score and HAMD score of two groups before the nursing were compared,there were no statistically significant differences(P>0.05).The HAMA score,HAMD score and PSQI score of observation group after the nursing were significantly lower than those of control group,with statistically significant differences(P<0.05).Conclusion:The group cognitive behavior nursing can significantly improve the negative emotions and sleep quality of children with chemotherapy for leukemia,so it is suitable for wide application in clinic.