Effect of cognitive behavioral therapy on health literacy of patients with permanent urinary stoma

Abstract

Objective To explore the effect of cognitive behavioral intervention on improving the health literacy of patients with bladder cancer undergoing total cystectomy and ureterodermatostomy. Methods Totally eighty patients with bladder cancer after radical cystectomy and ureterodermatostomy from December 2016 to June 2018 in a Class Ⅲ Grade A hospital in Harbin were selected and randomly divided into the control group (n=40) and experimental group (n=40) . The patients in the control group received routine nursing care whereas the experimental group were treated with cognitive behavioral therapy on the basis of routine nursing care. The effects of intervention in the two groups was compared by the use of Health Literacy Self-rating Scale before and 1 month after intervention. Results One month after intervention, the total score of health literacy in the experimental group was (101.82±9.43) and that in the control group was (87.87±10.96) . The difference was statistically significant (t=6.102, P < 0.05) . Conclusions The cognitive behavioral therapy is an effective way to improve the health literacy of patients with bladder cancer after radical cystectomy and ureterodermatostomy. Key words: Bladder neoplasms; Cystostomy; Ureterostomy; Health literacy; Cognitive behavioral therapy