团体认知行为疗法在多发性骨髓瘤患者中的应用效果

摘要

Objective To study the effect of group cognitive behavior therapy (GCBT) in patients with multiple my-eloma (MM). Method 70 MM patients were enrolled in this study, and were randomized into either study group or con-trol group (n=35 each) according to a random number table. Patients in the control group were given conventional treat-ment and nursing care, while study group was administered with GCBT plus conventional therapy. After 6 weeks of nurs-ing, the quality of life, Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS) and satisfaction of nursing of the two groups were evaluated. Result The health promotion lifestyle scores were similar before nursing (P>0.05);while significantly improved in both groups after intervention, and a higher score was observed in study group compared with the control group (P<0.05);the SAS, SDS score of the study group was significantly lower than that of the control group after intervention (P<0.05);the total satisfaction rate was 82.8%in study group, significantly higher than that of the control group at 68.6%(Z=3.593, P<0.01). Conclusion Group cognitive behavioral therapy may improve the quality of life of patients with multiple myeloma, and relieve anxiety and depression and other negative emotions, while improve pa-tient care satisfaction, making it a clinical practicable therapy.%目的：探讨团体认知行为疗法在多发性骨髓瘤（MM）患者中的应用效果。方法选择多发性骨髓瘤患者70例为研究对象，将其按随机数字表法分为研究组和对照组各35例。对照组患者给予多发性骨髓瘤的常规治疗及护理；研究组患者在对照组的治疗和护理基础上实施团体认知行为疗法。护理6周后，对两组患者生活质量、焦虑抑郁状况及护理满意度进行评价。结果干预前两组的健康促进生活方式评分比较，差异无统计学意义（P﹥0.05）；两组干预后健康促进生活方式评分较干预前均显著提高，且干预后研究组评分高于对照组，差异具有统计学意义（P﹤0.05）；干预后研究组患者的SAS、SDS评分均低于对照组患者，差异具有统计学意义（P﹤0.05）；研究组患者总满意度为82.8%，显著高于对照组的68.6%，差异具有统计学意义（Z=3.593，P﹤0.01）。结论团体认知行为疗法可以提高多发性骨髓瘤患者的生活质量，缓解患者因疾病疼痛产生的焦虑抑郁等负性情绪，提高患者的护理满意度，值得在临床上推广应用。