沙盘游戏疗法结合正念减压疗法在乳腺癌患者术后护理中的应用

Application of sandplay therapy combined with mindfulness-based stress reduction in the post-operative care of breast cancer patients

目的分析应用沙盘游戏疗法结合正念减压疗法在乳腺癌中的干预效果。方法选取行保乳手术治疗的96例乳腺癌患者,根据术后护理方式的不同分组研究,接受常规护理方式的为对照组,接受沙盘游戏疗法结合正念减压疗法干预的为试验组,每组48例。比较两组患者治疗依从性、疼痛视觉模拟量表(VAS)评分,焦虑自评量表(SAS)、抑郁自评量表(SDS)、心理弹性量表(CD RISC)、创伤后应激障碍(PCL-C)量表、生命质量测定量表(FACT-B)评分。结果试验组治疗依从性的患者占比较对照组升高,VAS评分降低;与干预前比,干预后两组SAS、SDS评分降低,且试验组低于对照组,两组患者CD RISC评分以及生理状况、功能状况、社会/家庭状况、情感状况及附加关注得分升高,且试验组较对照组升高;干预后试验组患者重新体验、麻木回避、警觉性提高得分均低于对照组(均P<0.05)。结论应用沙盘游戏疗法结合正念减压疗法干预可有效缓解乳腺癌患者负性情绪,提升心理弹性水平,减轻创伤后应激障碍,提高生活质量。

Objective To analyze the intervention effect of sandplay therapy combined with mindfulness-based stress reduction therapy in breast cancer.Methods A total of 96 breast cancer patients who underwent breast-conserving surgery were selected.All cases were divided intor control group and experimental group,with 48 cases in each group.According to the different postoperative nursing methods,the control group received routine nursing,and the experimental group received sandplay therapy combined with mindfulness-based stress reduction therapy.The treatment compliance,pain visual analog scale(VAS)scores,self-rating anxiety scale(SAS),self-rating depression scale(SDS),resilience scale(CD RISC),post-traumatic stress disorder(PCL-C)and quality of life measurement scale(FACT-B)scores were compared between the two groups.Results The proportion of patients with treatment compliance in the test group was elevated in the comparison control group,and the VAS scores decreased;compared with pre-intervention,the SAS and SDS scores of the two groups decreased after the intervention,and the experimental group was lower than the control group.The CD RISC scores and the scores of physicalstatus,functional status,social/family status,emotional status and additional attention increased,and the experimental group was higher than the control group;after the intervention,the scores of re-experience,numbness avoidance,and increased vigilance in the experimental group were lower than the control group(all P<0.05).Conclusion Sandplay therapy combined with mindfulness-based stress reduction therapy can effectively relieve the negative emotions of breast cancer patients,improve the level of psychological resilience,reduce post-traumatic stress disorder,and improve the quality of life.