摘要
目的:分析情绪管理联合在线认知行为干预对白血病患者应对方式、睡眠质量的影响。方法:选取2022年9月至2023年12月泉州市第一医院血液科收治的合并慢性失眠的急性白血病患者68例作为研究对象,按照随机数字表法分为对照组和观察组,每组34例。对照组给予化疗及常规护理支持,观察组在对照组基础上同步接受ABC情绪管理与失眠认知行为干预。采用失眠严重程度指数(ISI)比较2组患者干预前后失眠情况的改善效果,采用医学应对问卷(MCMQ)量表比较2组患者认知行为的差异。结果:干预后,观察组ISI评分显著低于对照组,观察组后MCMQ量表中回避、屈服评分显著低于对照组,面对评分显著高于对照组,差异有统计学意义(P<0.05)。结论:情绪管理联合在线认知行为干预可有效改善白血病患者应对方式及睡眠质量,值得临床推广应用。
Objective:To analyze the effects of emotion management combined with online cognitive-behavioral intervention on coping strategies and sleep quality in leukemia patients.Methods:A total of 68 acute leukemia patients with chronic insomnia admitted to the Hematology Department of Quanzhou First Hospital from September 2022 to December 2023 were selected as study subjects.They were randomly divided into a control group(n=34)and an observation group(n=34)using a random number table method.The control group received chemotherapy and routine nursing support,while the observation group received ABC emotion management and insomnia cognitive behavioral intervention simultaneously on the basis of the control group.The improvement effect of insomnia before and after intervention was compared between two groups of patients using the Insomnia Severity Index(ISI),and the differences in cognitive behavior between the two groups of patients were compared using the Medical Coping Modes Questionnaire(MCMQ).Results:After intervention,the ISI scores of the observation group were significantly lower than those of the control group.The avoidance and yielding scores in the MCMQ scale of the observation group were significantly lower than those of the control group,and the face score was significantly higher than that of the control group.The difference between the two groups was statistically significant(P<0.05).Conclusion:Emotion management combined with online cognitive-behavioral intervention can effectively improve the coping style and sleep quality of leukemia patients,and is worthy of clinical promotion and application.
作者
陈慈敏
黄俐婷
丁瑞英
CHEN Cimin;HUANG Liting;DING Ruiying(Department of Hematology,Quanzhou First Hospital,Quanzhou 362000,China;Xiamen Maternal and Child Health Hospital,Xiamen 361000,China)
出处
《世界睡眠医学杂志》
2024年第11期2535-2537,2541,共4页
World Journal of Sleep Medicine
关键词
白血病
失眠
情绪管理
在线失眠认知行为疗法
应对方式
睡眠质量
焦虑
Leukemia
Insomnia
Emotion management
Online cognitive behavioral therapy for insomnia
Coping strategies
Sleep quality
Anxiety
