[1]唐 敏.认知—行为干预对乳腺癌患者术后睡眠、生活质量及护患关系的影响效果分析[J].大众科技,2023,25(8):131-134.
　Analysis on the Effect of Cognitive-Behavioral Intervention on Postoperative Sleep, Quality of Life and Nurse-Patient Relationship in Patients with Breast Cancer[J].Popular Science & Technology,2023,25(8):131-134.
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认知—行为干预对乳腺癌患者术后睡眠、生活质量及护患关系的影响效果分析()
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《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
25
期数:
2023年8
页码:
131-134
栏目:
医药与卫生
出版日期:
2023-08-20

文章信息/Info

Title:
Analysis on the Effect of Cognitive-Behavioral Intervention on Postoperative Sleep, Quality of Life and Nurse-Patient Relationship in Patients with Breast Cancer
作者:
唐 敏
（广西中医药大学第一附属医院，广西 南宁 530023）
关键词:
乳腺癌术后; 睡眠; 生活质量; 护理满意度; 认知行为干预
Keywords:
postoperative breast cancer;  sleep;  quality of life;  nursing satisfaction;  cognitive behavior intervention
文献标志码:
A
摘要:
目的：观察认知—行为干预对乳腺癌患者术后睡眠、生活质量及护患关系的影响效果。方法：选取收治的乳腺癌患者，随机分为观察组（认知—行为干预）45例，对照组（常规健康教育）43例。干预前后分别采用匹兹堡睡眠量表（PSQI）、简易生活量表（SF-36）、视觉模拟评分（VAS）、日常生活能力量表（ADL）以及自制护理满意度量表进行评估。结果：两组患者干预后PSQI评分均低于干预前（P＜0.05），且观察组明显低于对照组，但差异无统计学意义（P＞0.05）。两组患者干预后躯体疼痛、一般健康状况、社会功能、情感职能、精神健康、SF-36评分显著高于干预前（P＜0.05）。干预前，两组患者的VAS、ADL评分比较，差异均无统计学意义（P＞0.05）；干预后，与对照组比较，观察组的VAS评分降低明显，ADL则升高明显，差异有统计学意义（P＜0.05）。观察组患者满意21例，较好20例，一般3例，较差1例，护理满意度91.11%；对照组患者满意14例，较好15例，一般7例，较差7例，护理满意度67.44%。两组比较，差异有统计学意义（P＜0.05）。结论：认知—行为干预有利于提高术后乳腺癌患者的睡眠质量和生活质量，降低疼痛，提高生活能力，改善护患关系。
Abstract:
Objective: To observe the effect of cognitive-behavioral intervention on postoperative sleep, quality of life and nurse-patient relationship in patients with breast cancer. Methods: Breast cancer patients were selected and randomly divided into observation group (cognitive behavioral intervention) -45 cases and control group (routine health education) -43 cases. Before and after intervention, Pittsburgh Sleep Scale (PSQI), Simplified Life Scale (SF-36), Visual Analogue Scale (Vas), Ability of Daily Living Scale (ADL) and Self-Made Nursing Satisfaction Scale were used for evaluation. Results: The PSQI scores of both groups of patients after intervention were lower than before intervention (P<0.05), and the observation group was significantly lower than the control group, but the difference was not statistical significance (P>0.05). After intervention, the physical pain, general health status, social function, emotional function, mental health, and SF-36 scores of the two groups of patients were significantly higher than before intervention (P<0.05). Before intervention, there was no statistically significant difference in VAS and ADL scores between the two groups of patients (P>0.05); After intervention, compared with the control group, the VAS score of the observation group decreased significantly, while the ADL increased significantly, with a statistically significant difference (P<0.05). The observation group had 21 patients who were satisfied, 20 patients who were better, 3 patients who were average, and 1 patient who was worse, with a nursing satisfaction rate of 91.11%; in the control group, 14 patients were satisfied, 15 were good, 7 were average, and 7 were poor, with a nursing satisfaction rate of 67.44%, and the difference between the two groups was statistically significant (P<0.05). Conclusions: Cognitive-behavioral intervention is beneficial to improve the sleep quality and life quality of postoperative breast cancer patients, reduce pain, improve life ability, and improve the nurse patient relationship.

参考文献/References:

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备注/Memo

备注/Memo:
【收稿日期】2023-03-25【基金项目】2020年度广西医药卫生自筹经费科研项目“认知—行为干预对乳腺癌患者术后睡眠、生活质量及护患关系的影响效果分析”（Z20200751）。【作者简介】唐敏（1987－），女，广西全州人，广西中医药大学第一附属医院甲状腺乳腺外科副主任护师，研究方向为乳腺疾病的护理。
更新日期/Last Update: 2023-08-25