Feasibility of comprehensive intervention of cognitive behavior in patients with advanced cancer

Objective To discuss the effectiveness of comprehensive intervention of cognitive behavior on the symptoms of pain , fatigue and sleep disorders for patients with advanced cancer .Methods Sixty-two patients with advanced cancer were divided into the experimental group （ n=32 ） and the control group （ n=30）.The experimental group was given relaxation exercises and natural image intervention .Then the digital pain evaluation , brief fatigue inventory （ BFI ） , Pittsburgh sleep quality index （ PSQI ） and the Anderson symptom inventory （ MDASI ） were applied to analyze the differences between the experimental group and the control group.Results Pain, fatigue, poor appetite and sleep disorder were the most common symptoms , and the incidence of these symptoms were 95.1%, 92.6%, 88.5% and 86.1%, respectively.The average pain score of patients in the experimental group was （2.47 ±0.53）, which was significantly lower than （5.54 ± 0.37） of patients in the control group, with a significant difference（t=2.84,P〈0.01）.The score of BFI for patients in the experimental group was （3.44 ±1.24）, which was significantly lower than （4.92 ±0.41） of patients in the control group, with a significant difference （t=2.47,P〈0.05）.The score of PSQI for patients in the experimental group was （2.67 ±0.73）, which was significantly lower than （5.18 ±1.09） of patients in the control group, with a significant difference （t =5.34,P 〈0.01）.Conclusions The cognitive behavior intervention can effectively alleviate symptoms including pain , fatigue, and sleep disorder for patients with advanced cancer . Key words: Neoplasm; Symptoms; Relaxation exercise; Intervention of cognitive behavior