网络化认知行为疗法对乳腺癌化疗患者创伤后成长的影响

Effect of internet⁃delivered cognitive behavioral therapy on post⁃traumatic growth in breast cancer patients undergoing chemotherapy

目的探讨网络化认知行为疗法(ICBT)对乳腺癌化疗患者创伤后成长的影响。方法选取84例乳腺癌化疗患者作为研究对象,分为对照组和观察组,每组42例。对照组采用常规护理干预,观察组在常规护理的基础上采用ICBT干预。比较两组患者干预前与干预4周后创伤后成长问卷(PTGI)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及乳腺癌患者癌症治疗功能评价(FACT-B)量表评分。结果干预4周后,观察组PTGI评分、FACT-B量表各维度得分及总分高于干预前及对照组,SAS评分、SDS评分低于干预前及对照组(P<0.05)。结论ICBT可减轻乳腺癌化疗患者的焦虑、抑郁情绪,提高其创伤后成长水平,改善其生活质量。

Objective To explore the effect of internet‐delivered cognitive behavioral therapy(ICBT)on post‐traumatic growth in breast cancer patients undergoing chemotherapy.Methods A total of 84 breast cancer patients undergoing chemotherapy were selected as the research subjects,and they were assigned to control group or observation group,with 42 cases in each group.The control group received routine nursing for intervention,based on which the observation group received ICBT intervention.The scores of Post‐Traumatic Growth Inventory(PTGI),Self‐Rating Anxiety Scale(SAS),Self‐Rating Depression Scale(SDS),and Functional Assessment of Cancer Therapy‐Breast(FACT‐B)scale score before intervention and 4 weeks after intervention were compared between the two groups.Results After 4 weeks of intervention,the observation group exhibited higher scores of PTGI,various dimensions of FACT‐B scale,and a higher total score of FACT‐B scale,whereas lower scores of SAS and SDS as compared with before intervention and the control group(P<0.05).Conclusion ICBT can relieve anxiety,depression,elevate post‐traumatic growth level,and ameliorate quality of life in breast cancer patients undergoing chemotherapy.