摘要
Abstract
Objective To explore the effects of aromatherapy combined with cognitive insight therapy on recurrence fear,self-efficacy and well-being in elderly patients with primary hepatocellular carcinoma(PHC).Methods A total of 80 elderly patients with PHC treated in Tumor Hospital of Nantong City between March 2021 and March 2023 were enrolled.Ac-cording to random number table method,they were divided into observation group(n =40)and control group(n =40).The control group was treated with aromatherapy,while the observation group was treated with cognitive insight therapy on the basis of aromatherapy.The anxiety(HAMA),depression(HAMD),fear of cancer recurrence(FOP-Q-SF),self-efficacy(GSES),sleep quality(PSQI),well-being(GWB)and quality of life(QLQ-C30)and nursing satisfaction were compared between the two groups before and after intervention.Results The scores of HAMA,HAMD,FOP-Q-SF and PSQI of both groups after intervention were lower than those of the same group before intervention,and the observation group was lower than the control group(P＜0.05).The scores of GSES and GWB of both groups after intervention were higher than those of the same group,and the observation group was higher than the control group(P＜0.05).The scores of the physical function,emotional function,cognitive function and pain in QLQ-C30 of both groups after intervention were higher than those of the same group,and the observation group was higher than the control group(P＜0.05).The difference in the scores of HAMA,HAMD,FOP-Q-SF,GSES,GWB,PSQI and QLQ-C30 before and after intervention in the observation group was larger than those in the control group,and the differences were statistically significant(P＜0.05).After intervention,the scores of health knowledge guidance,communication skills,service quality and service attitude in the observation group were higher than those in the control group(P＜0.05).Conclusion The combination of aromatherapy and cognitive insight therapy may improve the negative emotions of elderly patients with PHC,reduce their postoperative recurrence,and improve their self-efficacy,well-being,quality of life and nursing satisfaction.关键词
老年/芳香疗法/认知领悟疗法/原发性肝癌/复发恐惧/自我效能/幸福感Key words
elderly/aromatherapy/cognitive insight therapy/primary hepatocellular carcinoma/recurrence fear/self-efficacy/well-being
