2016 年第 5 期 第 14 卷

团体认知行为疗法在多发性骨髓瘤患者中的应用效果

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关键词：团体认知行为疗法多发性骨髓瘤应用效果

• 摘要：
• 【摘要】目的：研究团体认知行为疗法在多发性骨髓瘤患者中的应用效果。方法：选择2013年11月至2015年4月在我院诊治的多发性骨髓瘤患者70例，将患者按随机数表法分为研究组和对照组，各35例。给予对照组病人多发性骨髓瘤的常规治疗及护理；研究组病人在对照组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：两组干预后健康促进生活方式评分较干预前均显著提高（P<0.05），干预后研究组较对照组的健康促进生活方式评分明显提高（P<0.05）；干预后研究组患者的SAS、SDS评分明显低于对照组患者（P<0.05），差异具有统计学意义；研究组35例患者中护理满意例数为16例，较满意例数为13例，不满意例数为6例，所占比例分别为45.7％、37.1％、17.2％，总的满意度为82.8％，对照组总满意度为68.6％。与对照组相比较，研究组的护理满意度明显较高(P<0.05)，差异具有统计学意义。结论：团体认知行为疗法可以明显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。
• Objective: To study the effect of group cognitive behavior therapy in patients with multiple myeloma. Methods: 70 patients with multiple myeloma were chosen from 2013 November to April, 2015 in our hospital for diagnosis and treatment, They were according to the random number table method points into study group and control group, 35 cases in each. Patients in the control group were given conventional treatment and nursing care of patients with multiple myeloma. The study group received group cognitive behavior therapy on the basis of the control group. After 6 weeks of nursing, the quality of life, anxiety and depression status and nursing satisfaction of the two groups were evaluated. Results: Two groups of health promotion lifestyle score than before intervention were significantly improved (P<0.05), compared with the control group, the health promotion lifestyle score significantly improved (P<0.05); the SAS, SDS score of the study group was significantly lower than the control group patients (P<0.05), the study group 35 cases of nursing satisfaction with the number of 13 cases, not satisfied with 6 cases, the proportion were 37.1%, 17.2%, the total satisfaction rate was 82.8%, the control group was 68.6%. Compared with the control group, the nursing satisfaction of the study group was significantly higher (P<0.05), and the difference was statistically significant. Conclusion:Group cognitive behavioral therapy can significantly improve the quality of life of patients with multiple myeloma, relieve anxiety and depression and other negative emotions, improve patient care satisfaction, it is worth to be popularized in clinical practice.