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认知行为疗法对癌症患者化疗期间睡眠质量的干预效果 被引量:15

Effects of cognitive behavioral therapy on sleep quality in patients with cancer on chemotherapy
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摘要 目的探讨认知行为疗法对于化疗癌症患者睡眠质量的干预效果。方法选择2010年1月~2015年1月延安大学附属医院接受化疗的癌症患者88例,分为观察组43例,对照组45例。对照组采用常规治疗方法,观察组在对照组基础上采用认知行为干预。于干预前、干预1、3个月后采用睡眠治疗指数(PSQI)问卷、抑郁自评量表(SDS)、焦虑自评量表(SAS)对患者的睡眠质量和心理状态进行评估。结果干预3个月后,两组患者的SAS评分、SDS评分、PSQI显著低于干预前,差异有统计学意义(P<0.05);观察组患者的SAS评分、SDS评分、PSQI低于对照组,差异有统计学意义(P<0.05)。结论认知行为疗法显著降低了化疗癌症患者的抑郁、焦虑水平和失眠的严重程度。 Objective To determine effects of cognitive behavioral therapy on sleep quality in cancer patients treated with chemotherapy. Methods From January 2010 to January 2015, in Affiliated Hospital of Yan′an University, 88 cancer patients received chemotherapy were selected, they were divided into observation group(43 cases) and control group(45 cases). The control group was given routine treatment, the observation group was given cognitive behavioral therapy based on the control group. The Pittsburgh Sleep Quality Index(PSQI) and Zung′ s self-rating anxiety scale(SAS), Zung′s self-rating depression scale(SDS) were used to assess the sleep quality and psychological status after intervention 1 month and 3 months. Results After 3 months intervention, SAS scores,SDS scores and PSQI of two groups were significantly lower than before the intervention, the differences were statistically significant(P〈0.05); SAS scores,SDS scores and PSQI of the observation group were lower than control group, the differences were statistically significant(P〈0.05). Conclusion Cognitive behavioral therapy significantly reduces the levels of depression, anxiety and the severity of insomnia in cancer patients treated with chemotherapy.
作者 王爱红 周小燕 王明全 WANG Aihong1, ZHOU Xiooyan, WANG Mingquan(1.Medical Experimental Center, Medical College of Yan'an University, Shaanxi Province, Yan'an 716000, China; 2.Key Laboratory of Cancer Prevention and Ttreatment of Yah'an City, Shaanxi Province, Yah'an 716000, China; 3.Fepartment of Interventional Radiology, Affiliated Hospital of Yan'an University, Shaanxi Province, Yan'an 716000, Chin)
出处 《中国医药导报》 CAS 2018年第11期154-157,共4页 China Medical Herald
基金 陕西省教育厅专项研究项目(16JK1859)
关键词 睡眠障碍 认知行为疗法 化疗 癌症 Sleep disruption Cognitive behavioral therapy Chemotherapy treatment Cancer
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