王爱红 周小燕 王明全

    [摘要] 目的 探讨认知行为疗法对于化疗癌症患者睡眠质量的干预效果。 方法 选择2010年1月～2015年1月延安大学附属医院接受化疗的癌症患者88例，分为观察组43例，对照组45例。对照组采用常规治疗方法，观察组在对照组基础上采用认知行为干预。于干预前、干预1、3个月后采用睡眠治疗指数(PSQI)问卷、抑郁自评量表(SDS)、焦虑自评量表(SAS)对患者的睡眠质量和心理状态进行评估。 结果 干预3个月后，两组患者的SAS评分、SDS评分、PSQI显著低于干预前，差异有统计学意义(P < 0.05)；观察组患者的SAS评分、SDS评分、PSQI低于对照组，差异有统计学意义(P < 0.05)。结论 认知行为疗法显著降低了化疗癌症患者的抑郁、焦虑水平和失眠的严重程度。

    [关键词] 睡眠障碍；认知行为疗法；化疗；癌症

    [中圖分类号] R473.1 [文献标识码] A [文章编号] 1673-7210(2018)04(b)-0154-04

    [Abstract] Objective To determine effects of cognitive behavioral therapy on sleep quality in cancer patients treated with chemotherapy. Methods From January 2010 to January 2015， in Affiliated Hospital of Yan′an University， 88 cancer patients received chemotherapy were selected， they were divided into observation group (43 cases) and control group (45 cases). The control group was given routine treatment， the observation group was given cognitive behavioral therapy based on the control group. The Pittsburgh Sleep Quality Index (PSQI) and Zung′s self-rating anxiety scale (SAS)， Zung′s self-rating depression scale (SDS) were used to assess the sleep quality and psychological status after intervention 1 month and 3 months. Results After 3 months intervention ......