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| Effect of Cognitive Behavioral Therapy on Coping Style and Compliance Behavior of Patients with Bladder Cancer after Perfusion Chemotherapy |
| CHE Kun |
| Department of urinary surgery,The affiliated Huaian No.1 People's Hospital of Nanjing Medical University,Jiang su huaian,223001 |
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Abstract 【Objective】To explore the effect of cognitive behavioral therapy on coping style and compliance behavior of patients with bladder cancer after perfusion chemotherapy. 【Methods】From March 2015 to September 2017, 98 patients with bladder cancer who received perfusion chemotherapy after operation were randomly divided into control group and observation group, 49 cases in each group. The control group was given routine chemotherapy nursing intervention including health education, dietary intervention and prevention of complications, while the observation group was given cognitive behavior intervention. The coping style, compliance behavior and adverse reactions were compared between the two groups.【Results】In the observation group, the scores of perfusion chemotherapy on time, taking medicine according to doctor's advice, good disease awareness, regular review on time, no early discharge of drugs and good living habits were significantly higher than those in the control group (P<0.05); the scores of calmness, optimism and seeking support were significantly higher than those in the control group, while the scores of conservatism, evasion, self-reliance, emotional catharsis and resignation to fate were significantly higher than those in the control group (P<0.05). The incidence of adverse reactions such as hematuria, bladder burning, local infection, adverse reaction of digestive system and bladder irritation sign was significantly lower than that of the control group (P<0.05). 【Conclusion】Cognitive-behavioral therapy can help promote the compliance of doctors with bladder infusion chemotherapy patients and improve the ability to actively respond to behaviors, and reduce the incidence of chemotherapy-related adverse reactions.
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Received: 28 April 2018
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2019, Vol. 36 
