The Health Education Based on Cognitive Behavioral Therapy in Patients with Colorectal Cancer during the Chemotherapy Intervals and Its Application in the Virtual Community Nursing

Yiling ZUO; Jiayan SUN; Limei MING; Guilan ZHANG; Yunxia SHEN; Xiaolin ZHANG

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Yiling ZUO, Jiayan SUN, Limei MING, Guilan ZHANG, Yunxia SHEN, Xiaolin ZHANG. The Health Education Based on Cognitive Behavioral Therapy in Patients with Colorectal Cancer during the Chemotherapy Intervals and Its Application in the Virtual Community Nursing[J]. Journal of Kunming Medical University.

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The Health Education Based on Cognitive Behavioral Therapy in Patients with Colorectal Cancer during the Chemotherapy Intervals and Its Application in the Virtual Community Nursing

1.
School of Nursing，Yunnan University of Chinese Medicine，Kunming Yunnan 650500
2.
Dept. of Oncology，Kunming Traditional Chinese Medicine Hospital，Kunming Yunnan 650599，China

Received Date: 2024-06-05
Available Online: 2024-11-07

Abstract

Abstract

Objective To investigate the effect of health education under the guidance of cognitive behavioral therapy in the virtual community care of patients with colorectal cancer chemotherapy intermittent. Methods 74 colorectal cancer patients who underwent the chemotherapy in the Department of Oncology of Kunming Hospital of Traditional Chinese Medicine from January 2024 to May 2024 and were in the chemotherapy interval were randomly divided into a control group and an observation group, with 37 cases in each group. The disease cognition, self-management efficacy and quality of life of the two groups were compared before and after the intervention using the Mini-Impairment Disease Awareness Scale （B-IPQ）, Cancer Self-Management Efficacy Scale（C-SUPPH） and Colorectal Cancer Quality of Life Measurement Scale （FACT-C）. Results After the intervention, the B-IPQ score in the observation group was significantly lower （t = -4.529, P < 0.001）, and the scores of C-SUPPH, FACT-C and their dimensions were significantly higher （Z = 9.664, 12.941, -4.774, -4.330, -6.739, -5.360, -3.162, P < 0.05） compared with the control group. Conclusion The application of the health education based on cognitive-behavioral therapy in virtual community nursing for patients with colorectal cancer during the chemotherapy intervals can effectively improve patients' negative cognition of the disease and enhance their self-management efficiency and quality of life.
- Colorectal cancer,
- Cognitive behavioral therapy,
- Virtual community,
- Intermittent period of chemotherapy

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References(36)

References

[1]	盛丽敏. 住院结直肠癌患者智谋现状及影响因素的研究[D]. 湖州: 湖州师范学院,2022.
[2]	彭丞,柴可群. 中西医结合治疗大肠癌研究进展[J]. 浙江中西医结合杂志,2022,32(8):779-782. doi: 10.3969/j.issn.1005-4561.2022.08.027
[3]	朱一玢. 时辰化疗结合择时用药缓解肠癌术后化疗胃肠反应的研究[D]. 广州: 广州中医药大学,2013.
[4]	周旭,尹悦. 基于症状管理的护理支持对结直肠癌化疗患者情绪、生活质量及不良反应的影响[J]. 现代中西医结合杂志,2022,31(22):3187-3190. doi: 10.3969/j.issn.1008-8849.2022.22.025
[5]	中华医学会肿瘤学分会,国家卫生健康委员会医政司. 中国结直肠癌诊疗规范(2023版)[J]. 协和医学杂志,2023,14(4):706-733. doi: 10.12290/xhyxzz.2023-0315
[6]	刘明月,张璐. 结直肠癌患者术后化疗期间的症状群调查分析[J]. 中国肛肠病杂志,2023,43(5):48-51. doi: 10.3969/j.issn.1000-1174.2023.05.017
[7]	Carrillo G M,Santamar í a N P. Vivir despu é s de una gastrectomía: Experiencia de pacientes con cáncer gástrico[J]. Enfermer í a Cl í nica,2019,29(1):27-33.
[8]	古晓宇. 社区健康教育对恶性肿瘤患者生活质量的影响[J]. 临床合理用药杂志,2018,11(7):152-153.
[9]	黄靖,陈宪泽,沈富儿,等. 基于移动互联网的社区慢性病健康教育模式研究[J]. 中国健康教育,2020,36(6):580-583.
[10]	Demiris G. The diffusion of virtual communities in health care: Concepts and challenges[J]. Patient Education and Counseling,2006,62(2):178-188. doi: 10.1016/j.pec.2005.10.003
[11]	王春霞,唐小岚,赖惠萍,等. 认知行为疗法在胃肠道肿瘤患者中的应用进展[J]. 现代临床医学,2024,50(1):33-36. doi: 10.11851/j.issn.1673-1557.2024.01.010
[12]	覃贤文. 认知行为干预在脑卒中偏瘫患者自我管理行为转变中的应用研究[D]. 南宁: 广西中医药大学,2021.
[13]	秦琳琳. 信息支持联合认知行为干预对老年2型糖尿病患者自我管理能力的影响[D]. 郑州: 郑州大学,2022.
[14]	顾铭. 安德森症状评估量表大肠癌模块的编制及应用研究[D]. 上海: 上海中医药大学,2019.
[15]	马景双. 基于症状管理理论的非小细胞肺癌术后化疗患者症状群干预方案的构建及初步应用[D]. 沈阳: 中国医科大学,2022.
[16]	王瑞平. 随机对照临床试验设计中的样本量估算方法[J]. 上海医药,2023,44(1):48-52. doi: 10.3969/j.issn.1006-1533.2023.01.013
[17]	豆慧杰. 赋能教育模式健康教育对乳腺癌化疗患者自我管理效能及自护能力改善效果研究[J]. 临床研究,2022,30(11):187-190. doi: 10.12385/j.issn.2096-1278(2022)11-0187-04
[18]	高岚. 基于移动信息技术的生活方式干预对结直肠癌患者健康结局的影响[D]. 泰安: 泰山医学院,2018.
[19]	崔璨. 计算机化认知行为疗法在中晚期癌症患者症状群管理中的应用研究[D]. 太原: 山西医科大学,2022.
[20]	余静. 认知行为疗法联合317护手机APP在乳腺癌术后化疗间歇期患者中的应用[J]. 河南医学研究,2020,29(19):3633-3634. doi: 10.3969/j.issn.1004-437X.2020.19.092
[21]	王越,李霞,董丽媛,等. 基于网络化认知行为疗法对癌症病人负性情绪和生活质量干预效果的Meta分析[J]. 护理研究,2023,37(1):62-68. doi: 10.12102/j.issn.1009-6493.2023.01.027
[22]	Lev E L,Owen S V. A measure of self-care self-efficacy[J]. Research in Nursing & Health,1996,19(5):421-429.
[23]	钱会娟,袁长蓉. 中文版癌症自我管理效能感量表的信效度测评[J]. 中华护理杂志,2011,46(1):87-89. doi: 10.3761/j.issn.0254-1769.2011.01.032
[24]	Ward W L,Hahn E A,Mo F,et al. Reliability and validity of the Functional Assessment of Cancer Therapy-Colorectal (FACT-C) quality of life instrument[J]. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment,Care and Rehabilitation,1999,8(3):181-195. doi: 10.1023/A:1008821826499
[25]	杨铮,卢玉波,李云峰,等. 大肠癌患者生命质量测定量表FACT-C(V4.0)中文版应用评价[J]. 中国组织工程研究与临床康复,2007,11(43):8753-8756.
[26]	Broadbent E,Petrie K J,Main J,et al. The brief illness perception questionnaire[J]. Journal of Psychosomatic Research,2006,60(6):631-637. doi: 10.1016/j.jpsychores.2005.10.020
[27]	李凤. 非增殖期糖尿病视网膜病变患者疾病感知现状及干预方案构建研究[D]. 济南: 山东中医药大学,2022.
[28]	周雄,胡明,李子帅,等. 2020年全球及中国结直肠癌流行状况分析[J]. 海军军医大学学报,2022,43(12):1356-1364.
[29]	林丹娜,应文娟,郭郁莲,等. 癌症患者心理症状群与生命质量的相关性分析[J]. 现代临床护理,2022,21(10):38-45. doi: 10.3969/j.issn.1671-8283.2022.10.007
[30]	刘玉鑫. 理性情绪行为疗法在结直肠癌化疗患者中的应用效果评价[D]. 衡阳: 南华大学,2022.
[31]	Isono M,Sato A,Asano T,et al. Delanzomib interacts with ritonavir synergistically to cause endoplasmic reticulum stress in renal cancer cells[J]. Anticancer Research,2018,38(6):3493-3500. doi: 10.21873/anticanres.12620
[32]	钱佳南,鲍超群,胡鸿毅. 中医药治疗结肠癌化疗相关消化道不良反应研究进展[J]. 中国中西医结合消化杂志,2022,30(6):456-460. doi: 10.3969/j.issn.1671-038X.2022.06.14
[33]	梁泽兰,周萍,木卡带司,等. 多元化认知行为干预对腹腔镜前列腺癌根治术围术期患者疾病认知程度及心理健康水平的影响[J]. 中国性科学,2023,32(10):23-26. doi: 10.3969/j.issn.1672-1993.2023.10.007
[34]	吉丹亚,贾苗. 认知行为干预对乳腺癌外科手术患者认知水平、自护能力及心理状态的影响[J]. 临床医学研究与实践,2022,7(2):163-165.
[35]	王芹. 认知行为干预对化疗期胃肠癌患者常见症状群的影响[D]. 合肥: 安徽医科大学,2018.
[36]	陈维萍,童建冲,屠萌君,等. 认知行为干预对肿瘤病人化疗间歇期生活质量的影响[J]. 护理研究,2007,21(24):2214-2215. doi: 10.3969/j.issn.1009-6493.2007.24.034

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