问题导向模式认知行为干预对白血病患者睡眠质量的影响

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Effects of Problem-oriented Cognitive Behavioral Interventionon Sleep Quality in Patients withLeukemia

LIN Xiaofang，ZHANG Liling，ZHUANG Yaling （Quanzhou First Hospital，Quanzhou 362OOO，China）

AbstractObjective：Toinvestigatetheefectsofproblem-orientedcognitivebehavioral interventiononslpqualityinpatients withleukemia.Methods：Atotalof196patientswithleukemiaadmitedtoQuanzhouFirstHospitalfromApril2O24toJue2025 wereselectedandrandomlydividedintoacontrolgroupandanobservationgroupusingacomputer-generatedrandomizatinmethod，with98patients ineach group.Thecontrolgroupreceivedroutine nursingcare，whiletheoservationgroupreceivedproblemorientedcognitivebehaviralintervention.Sleepquality，self-careability，ndnegativeemotionswerecomparedbetweenthetwo groups.Results：Before nursing，there was no significant diference in sleepquality scores between the two groups（ P>0.05 ）. After nursing，the observation group showed lower sleep quality scores，with statistically significant diferences（ P<0.05）. Before nursing，there was no significant difference in self-care ability scores between the two groups（ P>0.05 ）. After nursing，the observation group had higher self-care ability scores than the control group，with statisticall significant diferences（ P<0.05 ）.Before nursing，there was no significant difference in negative emotion scores between the two groups（ P>0.05 ）.After nursing，the observation group had lower negative emotion scores than thecontrol group，with statisticallysignificant differences（ P<0.05 ）.

Conclusion：Problem-orientedcognitivebehavioralinterventioninpatients with leukemiacanimprovesleepqualityaleviatenegative emotions，and enhance self-care ability.

KeywordsProblem-oriented；Cognitive behavioral； Leukemia； Sleep quality； Self-care ability；Negative emotions中图分类号：R473.73 文献标识码：A doi：10.3969/j. issn.2095-7130.2025.12.038

白血病（Leukemia）为造血系统恶性肿瘤，治疗过程常伴复杂生理、心理应激反应。（剩余6149字）