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正念减压疗法在非小细胞肺癌化疗患者中的应用

Application of mindfulness-based stress reduction in patients with non-small-cell lung cancer under chemotherapy
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摘要 目的探讨正念减压疗法对非小细胞肺癌化疗患者癌因性疲乏及心理状态的影响.方法采用方便抽样法,选择2017年6月-2018年12月在江苏省连云港市第一人民医院肿瘤科接受化疗的67例非小细胞肺癌患者作为研究对象.根据患者入院时间,将其分为试验组和对照组,其中试验组34例,对照组33例.对照组接受常规护理,试验组在常规护理基础上实施正念减压训练,每周1次,共8次.采用癌症疲乏量表(CFS)、SAS和SDS对两组患者癌因性疲乏、焦虑和抑郁情况进行比较.结果最终试验组31例、对照组32例患者完成研究.干预前,两组的CFS量表及各维度得分、SAS及SDS得分差异均无统计学意义(P>0.05);8周正念减压干预后,试验组CFS量表及各维度得分、SAS及SDS得分均低于对照组,差异均有统计学意义(P<0.05).结论正念减压疗法能有效降低非小细胞肺癌化疗患者的癌因性疲乏,改善患者焦虑、抑郁的心理状态. Objective To explore the effect of mindfulness-based stress reduction(MBSR)on cancer-related fatigue and mental status of patients with non-small-cell lung cancer(NSCLC)who receive chemotherapy.Methods By convenience sampling,67 patients with NSCLC receiving chemotherapy in the First People's Hospital of Lianyungang in Jiangsu Province were selected from June 2017 to December 2018 in this study.According to their admission time,they were divided into the observation group(n=34)and control group(n=33).Conventional nursing care was given for the control group,apart from that,the MBSR exercise was adopted for the observation group,once a week and 8 times in total.Cancer Fatigue Scale(CFS),Self-rating Anxiety Scale(SAS),and Self-Rating Depression Scale(SDS)were used to compare the scores of their cancer fatigue,anxiety and depression between the two groups.Results Finally,31 patients in the observation group and 32 patients in the control group completed the study.Before intervention,there was no statistical difference in CFS and each dimensional score in CFS,SAS and SDS scores between the two groups(P>0.05);after 8 weeks'intervention of MBSR,the CFS score and each dimensional score in CFS,SAS and SDS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusions MBSR can effectively improve the NSCLC patients'cancer-related fatigue and reduce the level of anxiety and depression.
作者 陈冰 骆炯 熊兰彩 倪红 胡焕琴 Chen Bing;Luo Jiong;Xiong Lancai;Ni Hong;Hu Huanqin(Department of Oncology,the First People's Hospital of Lianyungang,Jiangsu Province,Lianyungang 222000,China)
出处 《中华现代护理杂志》 2019年第22期2851-2854,共4页 Chinese Journal of Modern Nursing
关键词 非小细胞肺 癌因性疲乏 正念减压 焦虑 抑郁 Neoplasms,non-small-cell lung Cancer-related fatigue Mindfulness-based stress reduction Anxiety Depression
作者简介 通信作者:胡焕琴,Email:252454023@qq.com.
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