基于认知行为疗法的健康教育在大肠癌化疗间歇期患者虚拟社区护理中的应用

The Health Education Based on Cognitive Behavioral Therapy in Patients with Colorectal Cancer during the Chemotherapy Intervals and Its Application in the Virtual Community Nursing

目的探讨认知行为疗法指导下的健康教育应用在大肠癌化疗间歇期患者虚拟社区护理中的效果。方法采取便利抽样法,将2024年1月至2024年5月于昆明市中医医院肿瘤科化疗后,处于化疗间歇期的74例大肠癌患者随机分成对照组和观察组,各37例,对照组采取常规的随访指导,观察组实施认知行为疗法指导下的大肠癌化疗间歇期患者虚拟社区健康教育。采用简易疾病认知量表(B-IPQ)、癌症患者自我管理效能感量表(C-SUPPH)、大肠癌生活质量测定量表(FACT-C)比较2组患者干预前后的疾病认知情况、自我管理效能及生活质量水平。结果干预后与对照组相比,观察组B-IPQ评分明显较低(t=-4.529,P<0.001),C-SUPPH、FACT-C及其各维度评分明显较高(Z=9.664、12.941、-4.774、-4.330、-6.739、-5.360、-3.162,均P<0.05)。结论基于认知行为疗法的健康教育运用于大肠癌化疗间歇期患者虚拟社区护理中,可有效改善患者对疾病的负性认知,提高患者的自我管理效能及生活质量水平。

Objective To investigate the effect of health education under the guidance of cognitive behavioral therapy in the virtual community care of patients with colorectal cancer chemotherapy intermittent.Methods 74 colorectal cancer patients who underwent the chemotherapy in the Department of Oncology of Kunming Hospital of Traditional Chinese Medicine from January 2024 to May 2024 and were in the chemotherapy interval were randomly divided into a control group and an observation group,with 37 cases in each group.The disease cognition,self-management efficacy and quality of life of the two groups were compared before and after the intervention using the Mini-Impairment Disease Awareness Scale(B-IPQ),Cancer Self-Management Efficacy Scale(C-SUPPH)and Colorectal Cancer Quality of Life Measurement Scale(FACT-C).Results After the intervention,the B-IPQ score in the observation group was significantly lower(t=-4.529,P<0.001),and the scores of C-SUPPH,FACT-C and their dimensions were significantly higher(Z=9.664,12.941,-4.774,-4.330,-6.739,-5.360,-3.162,P<0.05)compared with the control group.Conclusion The application of the health education based on cognitive-behavioral therapy in virtual community nursing for patients with colorectal cancer during the chemotherapy intervals can effectively improve patients'negative cognition of the disease and enhance their self-management efficiency and quality of life.