Analysis of the Role of Cognitive Behavioral Therapy on Self-Care in Thyroid Cancer Patients
Download PDF

Keywords

Cognitive behavioral therapy
Thyroid cancer
Self-care ability
Quality of life
Coping style

DOI

10.26689/par.v8i1.5907

Submitted : 2023-12-27
Accepted : 2024-01-11
Published : 2024-01-26

Abstract

Objective: To explore the effect of cognitive behavioral therapy on self-care in thyroid cancer patients. Methods: A total of 144 thyroid cancer patients treated at the Affiliated Hospital of Hebei University from January 2022 to August 2023 were selected as research subjects. Using the random number table method, they were divided into a control group and an experimental group, each consisting of 72 cases. The control group received routine nursing intervention, while the experimental group received cognitive behavioral therapy based on standard nursing practices. The self-care ability (self-concept, self-efficacy, self-care skills, health knowledge level), coping style (confrontation, avoidance, and surrender), and quality of life (psychological function, social function, material life, physical function) of both groups before and after the intervention were compared. Results: In comparison to the pre-intervention period, the experimental group exhibited significantly higher self-care ability, quality of life, and confrontation scores after the intervention, as opposed to the control group. Additionally, the avoidance and surrender scores were lower in the experimental group than in the control group, with these differences proving to be statistically significant (P < 0.01). Conclusion: The application of cognitive behavioral therapy can enhance the self-care ability of thyroid cancer patients, aid in better disease coping, and improve their overall quality of life. This approach is deserving of further promotion.

References

Zhou J, Qu L, Shi B, et al., 2020, Nursing Care of Microwave Ablation of Thyroid Micropapillary Carcinoma Under Ultrasound Guidance. Journal of Changchun University of Traditional Chinese Medicine, 36(2): 356–358.

Qi B, Mu H, Yin D, 2022, Application of Comprehensive Intervention Combined with Cognitive Behavioral Therapy in Postoperative Thyroid Cancer Care. Journal of Clinical Psychosomatic Diseases, 28(6): 143–147.

Wang Y, 2019, Analysis of the Impact of Motivational Nursing on Negative Emotions and Quality of Life in Patients Undergoing Thyroid Cancer Surgery. Heilongjiang Medical Sciences, 42(1): 186–187.

Liang L, Chen C, Zhang W, 2017, Effect of Cognitive Intervention on Cancer Patients’ Medical Compliance Behavior and Self-Care Ability. Nursing Practice and Research, 14(10): 80–81.

Jiang M, 2018, The Impact of Path-Based Health Education on Cognition and Behavior of Family Members of Children with Hand, Foot, and Mouth Disease. Contemporary Nurse, 25(5): 110–112.

Zhou L, Zou W, Pan J, et al., 2019, Perinatal Depression Prevention Intervention Path and Effect Evaluation Based on Cognitive Behavioral and Mother-Infant Relationship Therapy. Chinese Nursing Management, 19(3): 373–379.

Li X, Zhou X, 2020, Effect of Cognitive Behavioral Pathway Intervention Based on Empowerment Theory on Self-CareAbility and Quality of Life of Patients with Thyroid Cancer. Nursing Practice and Research, 17(4): 49–51.

Liu Z, Liu P, Xie Z, 2019, Regulatory Mechanism of Thyroid Cancer Proliferation and Differentiation. Chinese Clinical New Medicine, 12(7): 804–808.

Qin W, Guan C, Xu Z, et al., 2019, Analysis of Clinical Characteristics of 854 Patients with Thyroid Cancer. Journal of Clinical Otolaryngology-Head and Neck Surgery, 33(8): 718–721.

Jin N, Li Y, Xi Y, et al., 2019, The Impact of Motivational Nursing on the Incidence of Postoperative Complications and Psychological State of Patients with Thyroid Cancer. Nursing Practice and Research, 16(9): 61–62.

Wu R, Yuan S, Liu Y, et al., 2020, Clinical Observation on the Impact of Different Thyroid Surgery Methods on Parathyroid Function. Chinese Journal of General Surgery, 29(11): 1357–1363.

Chen L, Li Y, Yu Y, et al., 2019, Research Progress of Rapid Recovery Surgery in Perioperative Thyroid Cancer Care. Nursing Research, 33(16): 2810–2813.

Li T, 2017, Effect of Comprehensive Intervention Combined with Cognitive Behavioral Therapy on the Compliance of Patients with Thyroid Cancer During Postoperative Treatment. Chinese General Medicine, 15(8): 1440–1443.

Ning X, Wei J, 2023, Analysis of the Impact of Cognitive Behavioral Path-Based Intervention on the Psychological Emotions and Sleep Quality of Patients with Myocardial Infarction. Guizhou Medicine, 47(10): 1665–1666.

Wang L, Shen W, Jing J, et al., 2021, Application of Cognitive Behavioral Path Intervention Based on Empowerment Theory Combined with Mindfulness-Based Stress Reduction Therapy in Breast Cancer Patients. Qilu Nursing Journal, 27(13): 30–33.