自助式正念冥想干预在缓解胃癌围手术期患者焦虑情绪中的应用效果

Self-help mindfulness meditation intervention in alleviating perioperative anxiety in patients with gastric cancer

目的 探讨行胃癌根治术患者应用自助式正念冥想干预对患者围手术期负性情绪的影响。方法 选取2021年6月至2021年9月间山东省肿瘤医院收治的116例胃癌患者作为研究对象,采用随机数表法分为对照组和观察组,每组58例。对照组患者采用常规护理模式,观察组在对照组基础上采用自助式正念冥想干预。比较两组患者手术时间、术后排气时间、排便时间、疼痛程度、住院时间、焦虑、抑郁及自我护理能力。结果 两组患者手术时间、术后排气时间及排便时间比较,差异无统计学意义(P>0.05);但观察组的疼痛程度及住院时间均少于对照组,组间差异均有统计学意义(均P<0.05)。入院时,两组患者焦虑(HAMA)、抑郁(HAMD)评分比较,差异无统计学意义(P>0.05)。而手术前后,观察组患者HAMA、HAMD评分均下降,且低于对照组,差异有统计学意义(P<0.05)。出院时,观察组HAMA、HAMD评分低于对照组,差异有统计学意义(P<0.05)。观察组患者自我护理能力量表各项得分均高于对照组,差异有统计学意义(P<0.05)。结论 自助式正念冥想干预应用于拟行胃癌根治术的患者中,可降低患者焦虑、抑郁等负性情绪,减轻痛苦,提高自我护理能力,加快恢复,值得临床应用推广。

Objective To discuss the effect of self-help mindfulness meditation intervention on perioperative negative emotions in patients undergoing radical resection for gastric cancer. Methods A total of 116 patients with gastric cancer admitted to Shandong Cancer Hospital were selected from June 2021 to September 2021. They were randomly divided into an observation group and a control group with 58 patients in each group. Self-help mindfulness meditation intervention was adopted observation group in addition conventional nursing and the control group adopts routine nursing. Duration of operation, time to postoperative exhaust, time to postoperative defecation, severity of pain, length of hospital stay, anxiety, depression and self-care abilities were recorded in the two groups. Results There was no significant difference in the duration of operation, time to postoperative exhaust, time to postoperative defecation between the two groups of patients(P>0.05). However, severity of pain and length of hospital stay were less in the observation group than in the control group(P<0.05). On admission, there was no significant difference in Hamilton depression scale(HAMD) and Hamilton anxiety scale(HAMA) scores between the two groups of patients(P>0.05). However, before and after surgery, HAMA and HAMD scores were significantly decreased in the two groups and the scores were lower in the observation group than in the control group(P<0.05). HAMA and HAMD scores of the observation group were significantly lower than those of the control group at discharge(all P<0.05). The scores of the self-help ability scale were higher in the observation group than in the control group(all P<0.05). Conclusion Self-help mindfulness meditation can significantly reduce anxiety, depression and other negative emotions, relieve pain, and improve patient’s self-care abilities and speed up patient recovery in patients undergoing radical resection for gastric cancer. It is worthy of clinical practice and promotion.