Study On Efficiency Of Cognitive Behavioral Therapy On Quality Of Life Among Patients With Peripherally Inserted Central Catheter

ObjectiveTo determine the quality of life (QOL) and psychological status before and after cognitivebehavioral therapy (CBT) among patients with peripherally inserted central catheter. To analysis and useCBT in patients with PICC; to explore the effectiveness on the QOL of patients. To study the preventativeeffect of early complications related to PICC among patients.MethodAccording to the standard of integrating and eliminating,120cases of patients with PICC wererandomly divided into the control group and the experimental group, each group had60cases. The controlgroup received routine care, while the experimental group received routine care plus CBT. The methods ofCBT, which were executed by the same researcher face to face, included: cognition rebuilting, behavioralintervention, relaxation training and inward imagine. The period of experiment was12weeks. The twogroups were all received general conditions investigate (autonomous), Self rating Anxiety Scale (SAS),Quality of Life Questionare--Core30(QLQ--C30), then the early catheter complications related to PICC ofthe two groups were observed. The experiment data was calculated and analyzed by SPSS17.0andChi-square test or indepentment test was used to analyze. If the value of P is less than0.05, the differenceswere statistical significance.Results(1)12weeks after catheterization, there were19complications caused, which were composed of4cases in the experiment group and15cases in the control group. The difference of complication ratebetween two groups was statistically significant (P<0.05).(2) Before the intervention, the differences of SAS between two groups were no statisticalsignificance (P>0.05). After the intervention, the SAS of the experiment group with PICC had lowermorbidity than the control group, the differences were statistical significance (P<0.05). The SAS of theexperiment group with PICC in itself had lower morbidity than it before the intervention, the differenceswere statistical significance (P<0.05). The differences of SAS of the control group in itself were no statistical significance before and after the intervention (P>0.05).(3) Before the intervention, the differences in the percentage of anxiety emotion degree betweentwo groups were no statistical significance (P>0.05). After the intervention, the percentage of anxietyemotion degree in the experiment group with PICC outperformed in the control group, the differences werestatistical significance (P<0.05). The percentage of anxiety emotion degree in the experiment group withPICC in itself had lower than it before the intervention, the differences were statistical significance(P<0.05). The differences in the percentage anxiety emotion of the control group in itself were no statisticalsignificance before and after the intervention (P>0.05).(4) Before the intervention, the differences on the quality of life (QOL) between two groups wereno statistical significance (P>0.05). After the intervention, the experiment group in various dimensionscores of the QOL was better than the control group, and the differences were statistical significance(P<0.05), especially in functions of body, role, emotion, etc. The differences on the QOL of the experimentgroup in itself before and after the intervention were statistical significance (P<0.05), and especially infunction dimension, which had obviously differences (P<0.01). The differences on the QOL of the controlgroup in itself were no statistical significance before and after the intervention (P>0.05).Concludes(1) The cognitive behavior intervention could efficaciously lower complication rate of patientswith PICC and increase the effect of catheterization.(2) The cognitive behavior intervention could remit anxiety emotion of patients with PICC, andimprove the psychological states of them.(3) The cognitive behavior intervention could obviously improve the quality of life of patientswith PICC.