观察认知行为疗法联合心理干预对膀胱癌根治术后患者焦虑及睡眠质量的影响

To Observe the Effects of Cognitive Behavioral Therapy Combined with Psychological Intervention on Anxiety and Sleep Quality of Patients after Radical Bladder Cancer Surgery

目的:观察认知行为疗法联合心理干预对膀胱癌根治术后患者焦虑及睡眠质量的影响。方法:选取2022年1月至2023年1月福建医科大学附属第一医院泌尿外科收治的接受膀胱癌根治术患者78例作为研究对象,按照随机数表法分为观察组和对照组,每组39例。采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用焦虑自评量表(SAS)比较2组患者焦虑改善情况,采用健康调查简表(SF-36)量表比较2组患者的生命质量,同时比较2组患者手术指标变化、并发症发生率及疾病健康知识知晓率。结果:干预后,观察组相关手术指标优于对照组,SAS评分、PSQI评分、并发症发生率均显著低于对照组,SF-36评分均显著高于对照组,差异有统计学意义(P<0.05)。结论:在膀胱癌根治术后患者干预中实施认知行为疗法联合心理干预,能够有效缓解患者的焦虑情绪,提高患者的睡眠质量,降低并发症发生率,改善手术指标,值得临床推广使用。

Objective:To observe the effects of cognitive behavioral therapy combined with psychological intervention on anxiety and sleep quality of patients after radical bladder cancer surgery.Methods:A total of 78 patients who received radical resection for bladder cancer in the Department of Urology,the First Affiliated Hospital of Fujian Medical University from January 2022 to January 2023 were selected as research objects,and were divided into observation group and control group according to the random number table method,with 39 cases in each group.The Pittsburgh Sleep Index Scale(PSQI)was used to compare the difference of sleep quality between 2 groups,the self-rating Anxiety Scale(SAS)was used to compare the improvement of anxiety between 2 groups,the Brief Health Survey Form(SF-36)was used to compare the quality of life between 2 groups,and the change of surgical indicators,the incidence of complications and the rate of health knowledge of the two groups were compared.Results:After intervention,the relevant surgical indexes in the observation group were better than those of the control group,SAS score,PSQI score and complication rate were significantly lower than the control group,and SF-36 score was significantly higher than the control group,the difference between the two groups was statistically significant(P s<0.05).Conclusion:The implementation of cognitive behavioral therapy combined with psychological intervention in patients after radical bladder cancer surgery can effectively relieve patients′anxiety,improve patient′s sleep quality,reduce the incidence of complications,improve surgical indicators,and is worthy of clinical promotion.