摘要
目的 探讨认知行为干预（CBI）结合社会支持护理对乳腺癌患者心理韧性及治疗依从性的影响。方法 选取2024年8月至2025年8月我院98例乳腺癌患者，随机分为对照组和观察组各49例。对照组行常规护理，观察组在常规护理基础上加用认知行为干预结合社会支持护理。干预前后，用心理韧性量表（CD-RISC）、癌症治疗功能评估量表（FACT-B）和自拟治疗依从性量表评估心理韧性、生活质量和治疗依从性，比较焦虑自评量表（SAS）和抑郁自评量表（SDS）评分。结果 干预后，观察组CD-RISC总分及各维度评分、治疗总依从率、FACT-B量表各领域评分及总分均显著高于对照组（P<0.05），且SAS和SDS评分显著低于对照组（P<0.05）。结论 认知行为干预结合社会支持护理可提升患者心理韧性，增强应对压力能力，提高治疗依从性和生活质量，缓解负性情绪，有临床推广价值。
关键词： 乳腺癌；认知行为干预；社会支持；心理韧性；治疗依从性；生活质量
Abstract
Objective To explore the impact of cognitive behavioral intervention (CBI) combined with social support care on the psychological resilience and treatment compliance of breast cancer patients. Methods From August 2024 to August 2025, 98 breast cancer patients in our hospital were selected and randomly divided into a control group and an observation group, with 49 cases in each group. The control group received routine care, while the observation group was treated with cognitive behavioral intervention combined with social support care on the basis of routine care. Before and after the intervention, psychological resilience, quality of life and treatment compliance were evaluated using the Psychological Resilience Scale (CD-RISC), the Cancer Treatment Function Assessment Scale (FACT-B) and the Self-designed Treatment Compliance Scale. The scores of the Self-Rating Anxiety Scale (SAS) and the Self-Rating Depression Scale (SDS) were compared. Results After the intervention, the total score of CD-RISC and the scores of each dimension, the total treatment compliance rate, the scores of each domain and the total score of the FACT-B scale in the observation group were significantly higher than those in the control group (P<0.05), and the scores of SAS and SDS were significantly lower than those in the control group (P<0.05). Conclusion Cognitive behavioral intervention combined with social support nursing can enhance patients' psychological resilience, improve their ability to cope with stress, increase treatment compliance and quality of life, and alleviate negative emotions. It has clinical promotion value.
Key words： Breast cancer; Cognitive behavioral intervention; Social support; Psychological resilience; Treatment compliance; Quality of life
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