认知行为疗法联合家长心理支持对白血病患儿化疗后心理状态的影响

Effects of cognitive behavior therapy combined with parental psychological support on the psychological state of children with leukemia after chemotherapy

目的 探讨认知行为疗法联合家长心理支持对白血病患儿化疗后心理状态的影响。方法 将80例接受化疗的白血病患儿按照随机数字表法分为研究组与对照组,每组40例。两组均给予常规护理,研究组在此基础上给予认知行为疗法联合家长心理支持。干预前后采用我院自行设计的依从性评估表评定两组依从性,采用心理状态评估量表及癌症患者自我效能评估量表评定两组的心理状态及自我效能,比较两组患儿家属护理满意度。结果 研究组治疗总依从率显著高于对照组(P<0.05);干预后两组心理状态评估量表均较治疗前显著降低(P<0.01),癌症患者自我效能评估量表评分均较治疗前显著升高,研究组较对照组变化更显著(P<0.01);研究组患儿家属护理总满意率显著高于对照组(P<0.05)。结论 认知行为疗法联合家长心理支持可以有效提高白血病患儿的依从性,改善其化疗后心理状态及自我效能,提高患儿家属护理满意度。

Objective To investigate the effect of cognitive behavioral therapy combined with parental psychological support on the psychological state of children with leukemia after chemotherapy.Methods A total of 80 children with leukemia who received chemotherapy were divided into study group and control group according to random number table method,with 40 cases in each group.Both groups were given routine nursing,and the study group was given cognitive behavioral therapy combined with parental psychological support on this basis.Before and after the intervention,the compliance assessment form designed by our hospital was used to evaluate the compliance of the two groups.The psychological state of the two groups was assessed by the mental state assessment scale(MSSNS),and the self-efficacy of the two groups was assessed by the strategies used by people to promote health(SUPPH).The nursing satisfaction of family members of the two groups was compared.Results The overall treatment compliance rate in the study group was significantly higher than that in the control group(P<0.05).After intervention,the MSSNS scores of the two groups were significantly lower than those before treatment(P<0.01),and the SUPPH scores were significantly higher than those before treatment,and the changes in the study group were more significant than those in the control group(P<0.01).The total satisfaction rate of family members of children in the study group was significantly higher than that in the control group(P<0.05).Conclusions Cognitive behavioral therapy combined with parental psychological support can effectively improve the compliance of children with leukemia,improve their psychological state and self-efficacy after chemotherapy,and improve the nursing satisfaction of their family members.