Effect of stage cognitive behavior intervention on anxiety and quality of life of patients with esophageal cancer undergoing chemotherapy
10.3760/cma.j.issn.1674-2907.2019.26.002
- VernacularTitle:阶段式认知行为干预对食管癌化疗患者焦虑情绪和生活质量的影响
- Author:
Qianru ZHU
1
;
Qi ZHAO
;
Yantao SUN
;
Junfan SUN
Author Information
1. 郑州大学第一附属医院心血管外科
- Keywords:
Esophageal neoplasms;
Anxiety;
Quality of life;
Cognitive behavioral therapy
- From:
Chinese Journal of Modern Nursing
2019;25(26):3306-3309
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To investigate the effect of stage cognitive behavioral intervention on anxiety and quality of life in patients with esophageal cancer undergoing chemotherapy. Methods? By convenience sampling, totally 78 patients with esophageal cancer combined with anxiety who received chemotherapy in the First Affiliated Hospital of Zhengzhou University from June 2017 to June 2018 were selected as the study subjects. Among them, 40 patients admitted from June to December 2017 were taken as the control group and the other 38 patients from January to June 2018 were in the observation group. The control group was given conventional nursing, and the observation group was given cognitive behavior intervention at admission and within 2 weeks after discharge. The two groups were compared in terms of the anxiety score and quality of life before and after intervention. Results? A total of 36 cases in the control group and 32 cases in the observation group completed the study. Before intervention, there was no statistical difference between the two groups in the anxiety score (P＞0.05). After intervention, the anxiety scores in both groups decreased compared with those before intervention with statistical differences (P＜0.01); and the anxiety score of the observation group after intervention was (40.28±5.46), lower than (55.97±3.28)of the control group with statistical significance (P＜0.01). Before intervention, there was no significant difference in the total scores of quality of life and scores in each fields between the two groups (P＞0.05). After intervention, the score of social/family status field in the observation group was (18.68±6.27) and the total score was (69.85±6.96), both higher than those in the control group (P＜ 0.01), while the scores of physiological, emotional and functional status in the observation group were higher than those in the control group, but there was no statistically significant difference between the two groups (P＞0.05). Conclusions? Stage cognitive behavioral intervention can improve anxiety and quality of life in patients with esophageal cancer undergoing chemotherapy, which is worthy of clinical application.
