目的：探讨积极认知行为疗法对乳腺癌化疗患者不良心理及生活质量的影响。方法选择我院2013年5月~2014年11月乳腺癌术后化疗患者81例，分为两组：对照组41例采用化疗药物治疗，观察组40例，在化疗药物治疗的基础上采用积极认知行为疗法；应用SAS、SDS评定焦虑、抑郁状况，应用乳腺癌患者生存质量量表(FACT-B)评定生活质量，比较两组干预效果。结果观察组干预后焦虑及抑郁程度均明显轻于对照组，两组差异有统计学意义(P<0.05)。观察组生理状况、社会/家庭状况、情感状况、功能状况、附加关注得分及QOL总分均高于对照组，两组差异有统计学意义(P<0.05)。结论乳腺癌化疗患者采用积极认知行为疗法治疗后能有效缓解患者焦虑、抑郁等不良情绪，提升生活质量，可以在临床推广应用。%Objective To investigate the impact on the mental state and quality of life of positive cognitive behavioral therapy in breast cancer patients undergoing chemotherapy. Methods A total of 81 patients with breast cancer after chemotherapy were selected from May 2013 to November 2014 in our hospital, all of them were divided into two groups,the control group had 41 cases,they used chemotherapy treatment, the observation group had 40 cases, they were given positive cognitive behavioral therapy on the basis of the chemotherapy drugs,the anxiety was assessed with SAS, depression was assessed with SDS, quality of life of breast cancer patients were assessed with the quality of life scale (FACT-B),the intervention effect of two groups was compared. Results The degree of anxiety and depression of the observation group after the intervention were significantly lighter than the control group,the difference was signifi-cant(P<0.05). The physiological conditions, social/family status, emotional status, functional status, additional atten-tion scores and QOL score of the observation group were higher than the control group, the difference was significant (P<0.05). Conclusion Chemotherapy in breast cancer patients with positive cognitive behavioral therapy after treatment can effectively relieve patient anxiety,depression and other negative emotions,improve the quality of life,can clinical application.
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