认知行为干预在改善子宫肌瘤患者术后复发恐惧及生活质量中的应用效果研究

Study on the Application Effect of Cognitive Behavioral Intervention in Improving Postoperative Relapse Fear and Quality of Life of Patients with Uterine Fibroids

目的:探讨认知行为干预模式对降低子宫肌瘤术后患者复发恐惧、提高社会支持和生活质量的效果。方法:选取2019年8月-2021年7月于丰城市人民医院就诊的子宫肌瘤择期手术患者66例作为研究对象。采用抛硬币法将研究对象随机分为对照组和观察组,各33例。对照组采用子宫肌瘤切除术围手术期常规护理,观察组在此基础上实施认知行为干预。分别于干预前和干预后评价两组患者社会支持程度、疾病复发恐惧及生活质量状况。结果:干预前,两组患者的社会支持情况、生活质量和疾病复发恐惧情况比较,差异均无统计学意义(P>0.05);干预后3个月,观察组患者的社会支持得分、生活质量各维度得分均显著高于对照组,差异均有统计学意义(P<0.05),疾病复发恐惧各维度得分和总分均明显低于对照组,差异均有统计学意义(P<0.05)。结论:认知行为干预能够有效提高子宫肌瘤手术患者社会生活质量,降低患者术后复发恐惧。

Objective:To explore the effect of cognitive behavioral intervention mode on reducing recurrence fear,improving social support and quality of life in patients after uterine fibroids.Method:A total of 66 patients with uterine fibroids undergoing elective surgery in Fengcheng People’s Hospital from August 2019 to July 2021 were selected as the research objects.The subjects were randomly divided into control group and observation group with 33 cases in each group.The control group received routine nursing during perioperative period of hysteromyoma resection,and the observation group received cognitive behavior intervention on this basis.Social support,fear of disease recurrence and quality of life were evaluated before and after intervention between the two groups.Result:Before intervention,there were no significant differences in social support,quality of life and fear of disease recurrence between two groups(P>0.05);3 months after intervention,scores of social support and quality of life each dimension in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05),the scores of each dimension and total scores of fear of disease recurrence were significantly lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Cognitive behavioral intervention can effectively improve the quality of social life of patients undergoing hysteromyoma surgery and reduce the fear of recurrence.