贝克认知疗法在骨转移病人疼痛和治疗依从性中的作用

项晶; 刘小红; 刘美; 刘进

doi:10.13898/j.cnki.issn.1000-2200.2018.12.030

贝克认知疗法在骨转移病人疼痛和治疗依从性中的作用

Effect of Beck's cognitive therapy on pain and compliance of patients with bone metastases

摘要

摘要: 目的：探讨贝克认知疗法在骨转移病人治疗依从性中的作用。方法：将204例恶性肿瘤骨转移病人随机分为观察组和对照组，对照组单纯给予肿瘤对症支持治疗，观察组在此基础上给予贝克认知疗法，分别采用疼痛数字评分法（NRS）评分、汉密尔顿抑郁量表（HAMD）和汉密尔顿焦虑量表（HAMA）评价治疗前后病人的心理状况。结果：2组病人治疗前NRS、HAMD和HAMA评分差异无统计学意义（P>0.05）；治疗后观察组NRS、HAMD和HAMA评分均低于对照组（P<0.01）。经过贝克认知疗法干预后，2组病人在本疗程中按时用药差异无统计学意义（P>0.05），在按时行下周期治疗、指定动作和满意度上，观察组高于对照组（P<0.05~P<0.01）。结论：贝克认知疗法能够明显缓解恶性肿瘤骨转移病人的疼痛、焦虑和抑郁程度，提高其治疗依从性，改善病人生活质量，值得在临床工作中推广应用。

Abstract: Objective:To explore the effects of Beck's cognitive therapy on treatment compliance of patients with bone metastases.Methods:A total of 204 patients with bone metastases were randomly divided into the observation group and control group.The control group was treated with suiting the case,and the observation group was treated with Beck's cognitive therapy based on the control group.The psychologic status in two groups was evaluated using the NRS,HAMD and HAMA scales before and after treatment.Results:The differences of the scores of NRS,HAMD and HAMA between two groups before treatment were not statistically significant(P>0.05).After treatment,the scores of NRS,HAMD and HAMA in observation group were lower than those in control group(P<0.01).After Beck's cognitive therapy intervention,the difference of drug use between two groups was not statistically significant(P>0.05).The timely next week treatment,designated movement and satisfaction in observation group were better than those in control group(P<0.05 to P<0.01).Conclusions:The Beck's cognitive therapy can obviously improve pain,mental state,treatment compliance and life quality of patients with bone metastases,and is worthy of popularization and application in clinic.

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