CAJ | 학술논문

目的：探讨对晚期癌症患者疼痛、疲乏及睡眠障碍症状群进行认知行为综合干预的有效性。方法采用完全随机抽样法将62例癌症晚期患者分成干预组32例和对照组30例，在入院为期1周的研究时间内，对干预组患者进行放松练习和自然意象认知行为的干预。采用疼痛数字评价量表、简易疲劳量表（ BFI）、匹兹堡睡眠质量指数（ PSQI）及安德森症状测量表对患者进行调查，比较两组症状强度上存在的差异。结果疼痛、疲乏、胃口差及睡眠障碍为最常见的症状，其症状频率分别为95．1％，92．6％，88．5％，86．1％。干预组患者的平均疼痛评分为（2．47±0．53）分，低于对照组的（5．54±0．37）分，差异有统计学意义（t＝2．84，P＜0．01）；干预组患者的BFI评分为（3．44±1．24）分，低于对照组的（4．92±0．41）分，差异有统计学意义（t ＝2．47，P＜0．05）；干预组患者的 PSQI 评分为（2．67±0．73）分，低于对照组的（5．18±1．09）分，差异有统计学意义（t＝5．34，P＜0．01）。结论对晚期癌症患者进行认知行为的综合干预，可以有效改善晚期癌症患者的疼痛、疲劳及睡眠障碍等症状。
목적：탐토대만기암증환자동통、피핍급수면장애증상군진행인지행위종합간예적유효성。방법채용완전수궤추양법장62례암증만기환자분성간예조32례화대조조30례，재입원위기1주적연구시간내，대간예조환자진행방송연습화자연의상인지행위적간예。채용동통수자평개량표、간역피로량표（ BFI）、필자보수면질량지수（ PSQI）급안덕삼증상측량표대환자진행조사，비교량조증상강도상존재적차이。결과동통、피핍、위구차급수면장애위최상견적증상，기증상빈솔분별위95．1％，92．6％，88．5％，86．1％。간예조환자적평균동통평분위（2．47±0．53）분，저우대조조적（5．54±0．37）분，차이유통계학의의（t＝2．84，P＜0．01）；간예조환자적BFI평분위（3．44±1．24）분，저우대조조적（4．92±0．41）분，차이유통계학의의（t ＝2．47，P＜0．05）；간예조환자적 PSQI 평분위（2．67±0．73）분，저우대조조적（5．18±1．09）분，차이유통계학의의（t＝5．34，P＜0．01）。결론대만기암증환자진행인지행위적종합간예，가이유효개선만기암증환자적동통、피로급수면장애등증상。
Objective To discuss the effectiveness of comprehensive intervention of cognitive behavior on the symptoms of pain , fatigue and sleep disorders for patients with advanced cancer .Methods Sixty-two patients with advanced cancer were divided into the experimental group ( n=32 ) and the control group ( n=30).The experimental group was given relaxation exercises and natural image intervention .Then the digital pain evaluation , brief fatigue inventory ( BFI ) , Pittsburgh sleep quality index ( PSQI ) and the Anderson symptom inventory ( MDASI ) were applied to analyze the differences between the experimental group and the control group.Results Pain, fatigue, poor appetite and sleep disorder were the most common symptoms , and the incidence of these symptoms were 95.1%, 92.6%, 88.5% and 86.1%, respectively.The average pain score of patients in the experimental group was (2.47 ±0.53), which was significantly lower than (5.54 ± 0.37) of patients in the control group, with a significant difference(t=2.84,P<0.01).The score of BFI for patients in the experimental group was (3.44 ±1.24), which was significantly lower than (4.92 ±0.41) of patients in the control group, with a significant difference (t=2.47,P<0.05).The score of PSQI for patients in the experimental group was (2.67 ±0.73), which was significantly lower than (5.18 ±1.09) of patients in the control group, with a significant difference (t =5.34,P <0.01).Conclusions The cognitive behavior intervention can effectively alleviate symptoms including pain , fatigue, and sleep disorder for patients with advanced cancer .