陈水科

摘要目的：探究心理护理联合认知行为疗法对膀胱癌根治术后患者焦虑及睡眠质量的影响。方法：选取2018年2月至2019年3月广东省茂名市人民医院收治的膀胱癌根治术后患者30例作为研究对象，随机分为观察组和对照组，每组15例。对照组患者实施常规护理，观察组患者给予心理护理联合认知行为疗法，比较2组患者干预前后焦虑情况与睡眠质量。结果：干预前，2组患者焦虑情况比较，差异无统计学意义（P>005）。干预后，观察组患者SAS评分明显低于对照组，差异有统计学意义（P<005）;干预前，观察组患者与对照组患者睡眠质量比较，差异无统计学意义（P>005），干预后，对照组患者评分明显高于观察组，差异有统计学意义（P<005）。结论：对膀胱癌根治术后患者实施心理护理联合认知行为疗法可有效缓解其焦虑情绪，同时改善患者睡眠质量，值得临床推广与应用。

关键词心理护理;认知行为疗法;膀胱癌根治术后;焦虑情况及睡眠质量

Effects of Psychological Nursing Combined with Cognitive Behavioral Therapy on Anxiety and Sleep Quality in Patients with Radical Resection of Bladder Cancer

CHEN Shuike

（Maoming people′s hospital，Maoming 525000，China）

AbstractObjective：To explore the effect of psychological nursing combined with cognitive behavioral therapy on anxiety and sleep quality in patients with radical resection of bladder cancerMethods：A total of 30 patients admitted to Maoming people′s hospital of Guangdong province from February 2018 to March 2019 after radical resection of bladder cancer were selected as the study subjects，and randomly divided into observation group and control group，with 15 patients in each groupPatients in the control group were given routine nursing，and patients in the observation group were given psychological nursing combined with cognitive behavioral therapyThe anxiety and sleep quality of patients in the two groups were compared before and after interventionResults：Before intervention，there was no significant difference in anxiety between the two groups（P>005）After intervention，SAS scores of patients in the observation group were significantly lower than those in the control group，and the difference was statistically significant（P<005）Before the intervention，there was no statistically significant difference in the sleep quality between the observation group and the control group（P>005）After the intervention，the score of the patients in the control group was significantly higher than that in the observation group，and the difference was statistically significant（P<005）.Conclusion：Psychological nursing combined with cognitive behavioral therapy can effectively relieve anxiety and improve sleep quality of patients after radical resection of bladder cancer，which is worthy of clinical promotion and application.

KeywordsPsychological nursing; Cognitive behavioral therapy; Radical resection of bladder cancer; Anxiety and sleep quality

中圖分类号：R33863;R47373文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.06.041

膀胱癌属泌尿系统常见的恶性肿瘤，一般男性发病率要高于女性，该疾病主要治疗方式为手术、放疗、化疗等[12]，但无论哪种治疗方式，都会对患者身心均具有一定程度的损伤，对治疗效果与预后非常不利，因此，对患者的术后进行相应干预至关重要[3]。本研究对膀胱癌根治术后患者进行心理护理联合认知行为疗法进行干预，分析其干预前后患者焦虑及睡眠质量情况，现将结果报道如下。

1资料与方法

11一般资料选取2018年2月至2019年3月广东省茂名市人民医院收治的膀胱癌根治术后患者30例作为研究对象，随机分为观察组和对照组，每组15例。观察组中男10例，女5例，年龄49～73岁，平均年龄（5628±146）岁;对照组中男11例，女4例，年龄50～71岁，平均年龄（5513±207）岁。一般……