认知行为疗法对癌症患者化疗期间睡眠质量的干预效果

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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, SAS scores ,SDS scores and PSQI of two groups were significantly lower than before the intervention, the differences were statistically significant (P < 0.05); SAS scores, SDS scores and PSQI of the observation group were lower than control group, the differences were statistically significant (P < 0.05). Conclusion Cognitive behavioral therapy significantly reduces the levels of depression, anxiety and the severity of insomnia in cancer patients treated with chemotherapy.

Key words： Sleep disruption Cognitive behavioral therapy Chemotherapy treatment Cancer

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