目的探讨集束化认知行为干预在脑胶质瘤术后患者中的应用效果。
方法采用便利抽样法，选取于2022年1月—2023年6月在济宁医学院附属医院神经外科行手术治疗的95例脑胶质瘤患者为研究对象。按照入组顺序分为观察组和对照组。对照组接受常规医疗护理干预，观察组在对照组基础上采取集束化认知行为干预。比较两组患者干预前后不同时间点中文版癌症自我管理效能量表（C-SUPPH）、简明健康状况调查量表（SF-36）、焦虑自评量表（SAS）、抑郁自评量表（SDS）的得分变化。
结果重复测量方差分析结果显示，两组C-SUPPH、SF-36、SAS、SDS得分比较存在组间、时间及交互效应，差异均有统计学意义（ P均<0.05）。在出院后1、3、6个月，观察组C-SUPPH、SF-36得分高于对照组，差异均有统计学意义（ P均<0.05）；在出院后3、6个月，观察组SAS、SDS得分低于对照组，差异均有统计学意义（ P均<0.05）。
结论集束化认知行为干预能够增加脑胶质瘤术后患者的自我管理效能，改善其生活质量，缓解其焦虑、抑郁情绪。
ObjectiveTo explore the effectiveness of bundled cognitive-behavior intervention in postoperative patients with glioma.
MethodsFrom January 2022 to June 2023, convenience sampling was used to select 95 patients with glioma who underwent surgical treatment at the Neurosurgery Department of Affiliated Hospital of Jining Medical University as subjects. The patients were divided into an observation group and a control group based on the order of enrollment. The control group received routine medical nursing intervention, while the observation group received bundled cognitive-behavior intervention on the basis of control group. The scores of the Chinese-Strategies Used by People to Promote Health (C-SUPPH), Short Form Health Survey (SF-36), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) were compared between two groups of patients at different time points before and after intervention.
ResultsRepeated measures analysis of variance showed that there were intergroup, time, and interaction effects between the C-SUPPH, SF-36, SAS, and SDS scores of the two groups, and the differences were statistically significant (all P<0.05). At 1, 3, and 6 months after discharge, the C-SUPPH and SF-36 scores in observation group were lower than those in control group, and the differences were statistically significant (all P<0.05). At 3 and 6 months after discharge, the SAS and SDS scores of the observation group were lower than those of the control group, and the differences were statistically significant (all P<0.05) .
ConclusionsBundled cognitive-behavior intervention can increase the self-management efficacy of postoperative glioma patients, improve their quality of life, and alleviate their anxiety and depression.
高波,宗雪荣,田婷婷,等. 集束化认知行为干预在脑胶质瘤术后患者中的应用研究[J]. 中华现代护理杂志,2024,30(23)：3195-3200.
DOI:10.3760/cma.j.cn115682-20240401-01751版权归中华医学会所有。
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除非特别声明，本刊刊出的所有文章不代表中华医学会和本刊编委会的观点。
高波：研究设计、干预实施、论文撰写、修改；宗雪荣：研究设计、论文撰写、干预实施、数据整理；田婷婷：干预实施、数据收集；李萌萌：干预实施、数据收集；王微：研究设计、干预指导；李波：研究设计、论文修改
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