陈炎华

摘要  目的：探讨认知行为疗法联合睡眠干预护理在乳腺癌术后化疗患者中的价值。方法：选取2016年3月至2017年11月龙岩市第二医院收治的乳腺癌患者76例，依据干预方式不同分为对照组和观察组，每组38例，对照组进行单纯放射治疗和常规护理。观察组予以认知行为疗法联合睡眠干预。比较2组患者治疗效果、睡眠质量、生命质量。结果：观察组患者护理总有效率97.37%优于对照组，差异有统计学意义（ P <0.05）;观察组患者睡眠质量和对照组比较更好，差异有统计学意义（ P <0.05）;观察组患者生命质量好于对照组，差异有统计学意义（ P <0.05）。结论：对在乳腺癌术后化疗患者予以认知行为疗法和睡眠干预护理可提升护理效果，睡眠质量、生命质量，有推广价值。

關键词  认知行为疗法;睡眠干预护理;乳腺癌

中图分类号：R737.9 文献标识码：A  doi： 10.3969/j.issn.2095-7130.2018.10.043

Application of Cognitive Behavioral Therapy Combined with Sleep Intervention in Patients  with Postoperative Chemotherapy for Breast Cance

Chen Yanhua

（Second Hospital of Longyan City，Fujian Province，Longyan，364000）

Abstract Objective： To analyze the value of cognitive behavioral therapy combined with sleep intervention nursing in postoperative chemotherapy patients with breast cancer. Methods： A total of 76 cases of breast cancer patients admitted from March 2016 to November 2017 were selected，and 38 cases were divided into the control group according to different methods of intervention，for simple radiotherapy and routine nursing.Thirty-eight patients in the observation group were treated with cognitive behavioral therapy combined with sleep intervention.The treatment effect，sleep quality and life quality were compared between the two groups. Results： the total nursing efficiency of the observation group was 97.37% significantly higher than that of the control group（ P <0.05）.The sleep quality of the observation group was better than that of the control group（ P <0.05）.The quality of life in the observation group was better than that in the control group（ P <0.05）. Conclusion： Cognitive behavioral therapy and sleep intervention nursing can improve nursing effect，sleep quality and life quality in patients with postoperative chemotherapy of breast cancer.

Key Words  Cognitive behavioral therapy;Sleep intervention nursing;Breast cancer

乳腺癌现阶段治疗方式以切除为主，同时结合放疗、化疗、激素治疗等方式。在诊疗时患者会出现脱发、乏力、肠胃不适等多种不良反应。多数患者对疾病和药物知识了解较少，无法从正确角度进行理解，因此会出现焦虑恐惧等情绪，部分患者也会出现失眠，生命质量降低的问题。有分析认为，采用认知形成干预和睡眠干预可提升护理质量，效果显著[1]。现选取我院患者为研究对象，主要分析认知干预、睡眠干预临床效果，报道如下。

1 资料与方法

1.1 一般资料 选取2016年3月至2017年11月收治的乳腺癌患者76例为研究对象，依据干预方式不同分为对照组和观察组，每组38例，对照组患者年龄32～72岁，平均年龄（51.04±3.52）岁，保乳手术9例，乳腺癌根治11例，乳腺癌扩大根治8例，单纯乳房切除10例;观察组患者年龄31～71岁，平均年龄（50.36±3.49）岁，保乳手术8例，乳腺癌根治10例，乳腺癌扩大根治8例，单纯乳房切除11例。2组患者一般资料比较，差异无统计学意义（ P >0.05），具有可比性。