CAJ | 학술논문

目的探讨认知疗法预防胃肠道恶性肿瘤患者术后恶心呕吐反应的效果.方法将80例胃肠道恶性肿瘤患者随机分为干预组和对照组各40例,比较两组患者的恶心呕吐情况及心理健康状态评分.结果干预组术后发生恶心呕吐反应的患者明显减少,程度明显减轻,两组比较差异有统计学意义(P＜0.05).两组入院后除人际关系因子外,躯体化、强迫、抑郁、焦虑、敌对、恐怖、偏执、精神病性8个因子分都高于常模.术后认知干预组患者心理健康因素评分显著低于对照组(P＜0.05).结论认知疗法可显著改善胃肠道恶性肿瘤患者的心理健康评分,减轻恶心呕吐症状,提高患者的生活质量.
목적 탐토인지요법예방위장도악성종류환자술후악심구토반응적효과.방법 장80례위장도악성종류환자수궤분위간예조화대조조각40례,비교량조환자적악심구토정황급심리건강상태평분.결과 간예조술후발생악심구토반응적환자명현감소,정도명현감경,량조비교차이유통계학의의(P＜0.05).량조입원후제인제관계인자외,구체화、강박、억욱、초필、활대、공포、편집、정신병성8개인자분도고우상모.술후인지간예조환자심리건강인소평분현저저우대조조(P＜0.05).결론 인지요법가현저개선위장도악성종류환자적심리건강평분,감경악심구토증상,제고환자적생활질량.
Objective To explore the effect of cognitive therapy for gastrointestinal carcinoma postoperative pstients to relieve nausea and vomiting.Methods 80 patients with gastrointestinal carcinoma were randomly divided into intervention group(n=40)and control group(n=40).The degree of nausea and vomiting and symptom were compared between the two groups.Results The incidence of nausea and vomiting in the intervention group was lower than that in the control group.So did the degree of nausea and vomiting.The difference was significant(P＜0.05).In SCL-90,the scores of the somatization,obsessive-compulsiwe,depression and anxiety phobicanxiety,parsnoid,psychofism were significantly different with that of the Chinese normal(P＜0.05).The scores in the intervention group were lower than that of the control group after cognitive therapy(P＜0.05).Conclusion Cognitive therapy can help to alleviate psychological health score,nausea and vomiting from gastrointestinal carcinoma postoperative,so as to improve the quality of life for patients with gastrointestinal carcinoma.