认知行为干预对子宫内膜癌手术患者心理状态、自我效能感及生活质量的影响

Effect of cognitive behavioral intervention on psychological state,self-efficacy and quality of life in patients undergoing surgery for endometrial cancer

目的探讨认知行为干预对子宫内膜癌手术患者心理状态、自我效能感及生活质量的影响。方法根据干预方式的不同将70例子宫内膜癌手术患者分为常规组(n=34)和认知行为干预组(n=36),常规组患者采取常规干预,认知行为干预组患者在常规组的基础上采取认知行为干预。比较两组患者的心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、自我效能感[一般自我效能感量表(GSES)]、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]及满意度。结果干预后,两组患者SDS、SAS评分均低于本组干预前,GSES评分均高于本组干预前,认知行为干预组患者SDS、SAS评分均低于常规组,GSES评分高于常规组,差异均有统计学意义(P﹤0.05)。干预后,两组患者EORTC QLQ-C30各维度评分均高于本组干预前,认知行为干预组患者EORTC QLQ-C30各维度评分均高于常规组,差异均有统计学意义(P﹤0.05)。出院时,认知行为干预组患者的总满意度明显高于常规组,差异有统计学意义(P﹤0.01)。结论认知行为干预可改善子宫内膜癌手术患者的心理状态,提高患者的自我效能感、生活质量及满意度。

Objective To investigate the effect of cognitive behavior intervention on psychological state,self-efficacy and quality of life in patients undergoing surgery for endometrial cancer.Method A total of 70 patients with endometrial cancer surgery were divided into conventional group(n=34)and cognitive behavioral intervention group(n=36)according to different intervention methods.Patients in the conventional group received conventional intervention,while patients in the cognitive behavioral intervention group received cognitive behavioral intervention on the basis of the conventional group.The psychological state[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],self-efficacy[general self-efficacy scale(GSES)],quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)]and satisfaction of the two groups were compared.Result After intervention,the SDS and SAS scores in both groups were lower than those before intervention,the GSES scores were higher than those before intervention,the SDS and SAS scores in cognitive behavioral intervention group were lower than those in conventional group,and the GSES score was higher than that in conventional group,and the differences were statistically significant(P<0.05).After intervention,the dimensional scores of EORTC QLQ-C30 in both groups were higher than those before intervention,and the dimensional scores of EORTC QLQ-C30 in cognitive behavioral intervention group were higher than those in conventional group,and the differences were statistically significant(P<0.05).At discharge,the total satisfaction rate of the cognitive behavioral intervention group was significantly higher than that of the conventional group,and the difference was statistically significant(P<0.01).Conclusion Cognitive behavioral intervention can improve the psychological state,self-efficacy,quality of life and satisfaction of patients undergoing surgery for endometrial cancer.