简短认知行为压力管理对结直肠癌患者益处发现及生活质量的影响

The Effectiveness of a Brief Cognitive Behavioral Stress Management on Benefit Finding and Quality of Life in Patients with Colorectal Cancer

目的:探究简短认知行为压力管理用于促进结直肠癌患者益处发现和生活质量的可行性及效果。方法:招募80例结直肠癌患者,随机分为干预组(40例,完成38例)和对照组(40例,完成36例)。对照组给予常规治疗护理及心理健康教育,干预组在对照组的基础上给予简短认知行为压力管理干预(共5次课程,每周1次,每次约120分钟。其中压力管理90分钟,放松训练30分钟),在干预前后采用益处发现量表中文版和肿瘤生存质量测定量表对两组进行测评。结果:干预前,两组的益处发现总分、各维度评分及生活质量的各维度评分差异均无统计学意义(P>0.05);干预后,干预组益处发现总分及接受、家庭关系、世界观、个人成长、社会关系和健康行为各维度的评分均高于干预前,且与对照组比较,除社会关系维度评分外,差异均有统计学意义(P<0.05);干预组生活质量的躯体功能、角色功能、情绪功能、社会功能和认知功能各维度评分均高于干预前,且与对照组比较,差异均有统计学意义(P<0.05)。结论:简短的认知行为压力管理干预是可行的,可提高结直肠癌患者的益处发现水平,改善其生活质量。

Objective:To explore the feasibility and primary effect of the brief cognitive behavioural stress management on benefit finding and quality of life in colorectal cancer patients.Methods:Eighty patients with colorectal cancer were recruited and randomly divided into an intervention group(40 cases,38 completed)and a control group(40 cases,36 completed).The control group accepted the routine nursing and mental health education.The patients of the intervention group received a brief cognitive behavioural stress management intervention(5 sessions in total,once a week for approximately 120minutes,including 90 minutes of stress management and 30 minutes of relaxation training).The BFS-C and EORTC QLQC30 were used to evaluate the current status of patients in the two groups before and after intervention.Results:Before the intervention,there was no statistically significant difference in the total benefit finding score and the quality of life.After 5weeks,the scores of each dimension and the total benefit finding score were higher than pre-intervention.And the differences were statistically significant comparing with the intervention group,excepting the scores of the dimension on social relationship.The intervention group scored higher than the pre-intervention group on the physical,role,emotional,social and cognitive functioning dimensions on quality of life,and the differences were statistically significant comparing with the control group.Conclusion:A brief cognitive behavioural stress management intervention is feasible to increase the level of benefit finding,guide positive psychology and improve the quality of life of colorectal cancer patients.