摘要
目的探讨不同疗程的认知行为疗法(CBT)改善癌症患者焦虑、抑郁情绪的应用价值。方法将2016年5月至2018年1月遵义医科大学附属医院肿瘤医院收治的150例癌症患者采用简单随机数字法分为CBT组和对照组,CBT组又按有无家属陪同分为无家属CBT组和有家属CBT组,每组50例。对照组接受放、化疗及手术等常规生物学治疗,无家属CBT组在常规生物学治疗基础上结合无家属陪同的CBT,有家属CBT组在常规生物学治疗基础上结合有家属陪同的CBT。采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对3组患者治疗前,治疗后4、8、12周进行调查分析。结果3组患者治疗后4、8、12周SAS、SDS评分均较治疗前明显下降,且CBT组患者治疗后4、8、12周SAS、SDS评分均依次明显降低,差异均有统计学意义(P<0.05);对照组患者治疗后12周SAS、SDS评分与治疗后4、8周比较,差异均无统计学意义(P>0.05)。CBT组患者治疗后4周SDS评分明显低于对照组,差异有统计学意义(P<0.05);SAS评分与对照组比较,差异无统计学意义(P>0.05);治疗后8、12周SAS、SDS评分均明显低于对照组,差异均有统计学意义(P<0.05)。有家属CBT组患者治疗后4、8、12周SAS、SDS评分均明显低于无家属CBT组,差异均有统计学意义(P<0.05)。结论常规治疗在治疗早期能部分缓解癌症患者的焦虑、抑郁情绪,但在治疗中、后期无进一步改善,而CBT在治疗的整个过程均能有效缓解癌症患者焦虑、抑郁情绪,治疗12周疗程的疗效优于治疗4、8周,且家属陪同参与CBT的疗效可能更佳。
Objective To explore the application value of different courses of cognitive behavioral therapy(CBT)in improving anxiety and depression of cancer patients.Methods A total of 150 cancer patients admitted to Cancer Hospital of Affiliated Hospital of Zunyi Medical University from May 2016 to January 2018 were divided into the CBT group and the control group by simple random number method.The CBT group was divided into the non-family CBT group and the family CBT group according to whether they were accompanied by family members or not,with 50 cases in each group.The control group received routine biological treatment such as radiotherapy and chemotherapy and surgery.The non-family CBT group combined with CBT without family members on the basis of routine biological treatment,and the family CBT group combined with CBT with family members on the basis of routine biological treatment.Self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to investigate and analyze the three groups of patients before,and 4,8 and 12 weeks after treatment.Results The SAS and SDS scores of the three groups decreased significantly at 4,8 and 12 weeks after treatment compared with those before treatment,and the SAS and SDS scores of the CBT group decreased significantly at 4,8 and 12 weeks after treatment in that order,and the differences were statistically significant(P<0.05).There was no significant difference in SAS and SDS scores between 12 weeks after treatment and 4 and 8 weeks after treatment in the control group,and the differences were no statistically significant(P>0.05).The SDS score of the CBT group was significantly lower than that of the control group at 4 weeks after treatment(P<0.05),but there was no significant difference in the SAS score between the two groups(P>0.05).The SAS and SDS scores at 8 and 12 weeks after treatment were significantly lower than those in the control group(P<0.05).The scores of SAS and SDS in the family CBT group were significantly lower than those in the non-family CBT group at 4,8,12 weeks after treatment(P<0.05).Conclusion Conventional treatment can partially alleviate the anxiety and depression of cancer patients in the early stage of treatment.However,there is no further improvement in the middle and late stages of treatment,whereas CBT was effective in relieving anxiety and depression in cancer patients throughout the whole treatment process.The efficacy of CBT of 12 weeks treatment is better than 4 or 8 weeks of treatment.The efficacy of CBT may be better when family members are present.
作者
胡书威
原小惠
盛莹莹
杨勇
彭娟
HU Shuwei;YUAN Xiaohui;SHENG Yingying;YANG Yong;PENG Juan(Zunyi Medical University,Zunyi,Guizhou 563000,China)
出处
《现代医药卫生》
2022年第12期2015-2019,共5页
Journal of Modern Medicine & Health
关键词
认知行为疗法
疗程
癌症患者
焦虑
抑郁
治疗结果
Cognitive behavioral therapy
Treatment course
Patients with cancer
Anxiety
Depression
Treatment results
