认知行为干预对减轻放射性皮炎的效果观察.docVIP

认知行为干预对减轻放射性皮炎的效果观察 　　[摘要] 目的 探讨教育和认知行为干预对减轻放射性皮炎的临床效果。 方法 选择104例乳腺癌改良根治术后接受放射治疗的患者，随机分为实验组和对照组各52例。实验组52例患者实施教育干预和认知行为的干预，入院后对患者实施全程系统性健康宣教，并自放疗第1天起到放疗结束整个过程跟踪教育干预及行为干预效果；对照组52例患者只给予放疗常规护理和相应的健康指导。 结果 实验组患者接受并掌握了放射治疗的相关知识及行为干预方式，提高了患者治疗的依从性，减轻了放射性皮肤损伤程度，降低了放射性皮炎发生率。 结论 教育和认知干预管理调动了患者的主观能动性，提高了患者的认知能力，改善了患者的不良行为方式，对减轻放射性炎有积极作用，提高了患者的生存质量。 　　[关键词] 认知；干预；放射治疗；放射性皮炎 　　[中图分类号] R473.73 [文献标识码] B [文章编号] 2095-0616（2013）22-203-02 　　Investigation of the effects of cognitive behavior intervention to mitigate radiodermatitis 　　MI Aifen FU Yingxiu QI Huili 　　Third Department of Radiology， Hebei Medical University Fourth Hospital， Shijiazhuang 050011， China 　　[Abstract] Objective To explore the clinical effects of education and cognitive behavior intervention to mitigate radiodermatitis. Methods 104 patients who received radiotherapy after modified radical mastectomy of breast cancer were selected and randomly assigned to experimental group and control group with 52 patients in each. Those in the experimental group were received educational intervention and cognitive behavior intervention. The patients were received a comprehensive health education after admission， and the effect of education and behavior intervention during the entire treatment from the beginning to the end of the radiotherapy was monitored and tracked. Those in the control group were only given routine nursing care of radiotherapy and related health education. Results The patients in experimental group accepted and mastered related knowledge of radiotherapy and the ways of behavior intervention. The patients treatment compliance was improved， the degree of radiation-induced skin damage was reduced， and the incidence of radiodermatitis decreased. Conclusion The education and management of cognitive intervention stimulates patients subjective initiatives， enhances their cognitive ability， and ameliorates their improper behaviors， which shows a positive effect on mitigating radiodermititis and improves