CAJ | 학술논문

目的：探讨认知行为干预(cognitivebehaviortherapy,CBT)对原发性肝癌患者自我效能及希望水平的影响.方法便利抽样法选取2011年1月至2012年6月长海中医医院治疗的202例患者为研究对象,根据其入院时间先后将其分为观察组和对照组,每组101例,分别采用CBT和常规教育方法对其进行健康教育,分别于健康教育前及教育后10~15d评定患者的自我效能及希望水平.结果在健康教育前,两组患者的希望水平及自我效能感的差异无统计学意义(均P＞0．05)；而健康教育后,两组患者的希望水平及自我效能感均有增加,但以观察组增加更为明显,差异有统计学意义(均P＜0．01).结论采用CBT模式可有效地减轻患者的心理压力,增加患者的自我效能感,提升患者希望水平,改善患者生活质量,促进康复.
목적：탐토인지행위간예(cognitivebehaviortherapy,CBT)대원발성간암환자자아효능급희망수평적영향.방법편리추양법선취2011년1월지2012년6월장해중의의원치료적202례환자위연구대상,근거기입원시간선후장기분위관찰조화대조조,매조101례,분별채용CBT화상규교육방법대기진행건강교육,분별우건강교육전급교육후10~15d평정환자적자아효능급희망수평.결과재건강교육전,량조환자적희망수평급자아효능감적차이무통계학의의(균P＞0．05)；이건강교육후,량조환자적희망수평급자아효능감균유증가,단이관찰조증가경위명현,차이유통계학의의(균P＜0．01).결론채용CBT모식가유효지감경환자적심리압력,증가환자적자아효능감,제승환자희망수평,개선환자생활질량,촉진강복.
Objective To investigate the effects of cognitive behavior therapy on self-efficacy,hope level of patients with primary liver cancer(PLC).Methods By convenience sampling,a total of 202 patients with PLC were recruited from Changhai Hospital.The patients were equally divided into treatment group and control group based on their admission time.Patients in the treatment group were intervened with cognitive behavior therapy and patients in control group received routine care.After 10 or 15 days intervention, patients were evaluated using General Self-Efficacy Scale(GSES),and hope index.Results There were no significant differences between treatment group and control group in scores of self-efficacy and hope levels before health education(P>0.05).Both routine care and cognitive behavior therapy can increase the scores of GSES and hope index,especially in treatment group(P<0.01).Conclusion Cognitive behavior therapy is effective in improving quality of life of patients with PLC by easing pressure,and promoting hope and recovery.