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Effects of concurrent cognitive therapy of spouse on negative emotion and self-efficacy of breast cancer patients during chemotherapy |
JIANG Li-qiong TANG Lin HOU Hui-ting LI jing-ru |
Department of Thoracic,Thyroid and Breast Surgery,People′s Hospital of Huadu District in Guangzhou City,Guangdong Province,Guangzhou 510800,China |
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Abstract Objective To investigate the effect of concurrent cognitive therapy of spouse on negative emotions and selfefficacy of breast cancer patients during chemotherapy.Methods A total of 100 breast cancer patients hospitalized during chemotherapy in our hospital from May 2016 to April 2018 were selected as the research objects.They were divided into group A (odd number)and group B(even number),with 50 cases in each group by using the odd-even sorting grouping method.Patients in group A received concurrent cognitive therapy from both spouses before chemotherapy until the end of chemotherapy,while patients in group B received routine care during chemotherapy.The negative emotions,self-efficacy,chemotherapy compliance,drug side effects,upper limb edema and sensory abnormalities were compared between the two groups.Results Before the intervention,there was no statistically significant difference in the scores of self-efficacy between the two groups (P>0.05).After the intervention,the self-efficacy scores of the two groups were higher than those before the intervention,and the self-efficacy scores of the patients in group A were higher than those in group B,the difference was statistically significant(P<0.05).After the intervention,the scores of drug side effects,upper limb edema and upper limb sensory abnormality in group A were significantly lower than those in group B,while the scores of compliance with chemotherapy in group A were higher than those in group B,the difference was statistically significant(P<0.05).Before the intervention,there was no statistically significant difference between the two groups (P>0.05).After the intervention,the negative emotion score of group A was significantly lower than that of group B,and the difference was statistically significant(P<0.05).Pearson correlation factor analysis was carried out on the total self-efficacy score,four dimensions score and negative emotion score of breast cancer patients in group A during chemotherapy,the results showed that the total self-efficacy score,nutrition,reha-bilitation exercise,psychological well-being and health responsibility were all negatively correlated with negative emotion (P<0.05).Conclusion Concurrent cognitive therapy of both spouses has a positive effect on breast cancer patients during chemotherapy,which helps to resolve negative emotions,improve the self-efficacy of patients,at the same time help to relieve the psychological pressure of spouses and improve their care ability,so as to improve the quality of life of patients.
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