认知行为护理联合正念癌症康复训练对乳腺癌化疗患者康复效果的影响

Influence of Cognitive Behavioral Nursing Combined with Mindfulness Cancer Rehabilitation Training on Rehabilitation Effect of Patients with Breast Cancer undergoing Chemotherapy

目的 探讨认知行为护理联合正念癌症康复训练对乳腺癌化疗患者康复效果的影响。方法 选择2019年10月—2020年10月在该院接受化疗的80例乳腺癌患者作为研究对象,按照随机数字表法分为观察组与对照组,各40例。对照组采用认知行为护理联合常规康复训练,观察组采用认知行为护理联合正念癌症康复训练,均干预8周。比较两组患者干预前、干预8周的心理状况、临床症状及生活质量。结果 干预8周,两组医院焦虑抑郁量表评分中焦虑、抑郁评分及总分均低于干预前,且观察组上述评分均低于对照组,组间差异有统计学意义(P<0.05)。干预8周,两组安德森症状评估量表评分中核心症状、对生活的影响及总分均低于干预前,且观察组上述评分均低于对照组,组间差异有统计学意义(P<0.05)。干预8周,两组乳腺癌病人生命质量测定量表评分中生理状况、社会/家庭状况、情感状况、功能状况评分及总分均高于干预前,且观察组上述评分均高于对照组,组间差异有统计学意义(P<0.05)。结论 认知行为护理联合正念癌症康复训练能够有效改善乳腺癌化疗患者的心理状况,缓解临床症状,提高生活质量,促进患者康复。

Objective To explore the influence of cognitive behavioral nursing combined with mindfulness cancer rehabilitation training on the rehabilitation effect of patients with breast cancer undergoing chemotherapy.Methods 80 patients with breast cancer who received chemotherapy in this hospital from October 2019 to October 2020 were selected as the research subjects.The patients were divided by a random number table method into an observation group and a control group,with 40 cases in each group.The control group received cognitive behavioral nursing combined with routine rehabilitation training,and the observation group received cognitive behavioral nursing combined with mindfulness cancer rehabilitation training,both were intervened for 8 weeks.The psychological status,clinical symptoms and quality of life of the two groups before the intervention and 8 weeks after the intervention were compared.Results After 8 weeks of intervention,the anxiety,depression scores and total scores of the hospital anxiety and depression scale scores in the two groups were lower than those before the intervention,and the above scores in the observation group were lower than those in the control group,and the differences between the two groups were statistically significant(P<0.05).After 8 weeks of intervention,the core symptoms,impact on life and total scores in the M.D.Anderson symptom inventory scores in the two groups were all lower than those before the intervention,and the above scores in the observation group were lower than those in the control group,and the differences between the two groups were statistically significant(P<0.05).After 8 weeks of intervention,the scores of physical status,social/family status,emotional status,functional status and total scores in the functional assessment of cancer therapybreast in the two groups were higher than those before intervention,and the above scores in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Cognitive behavioral nursing combined with mindfulness-based cancer rehabilitation training can effectively improve the psychological status of breast cancer patients undergoing chemotherapy,relieve clinical symptoms,improve quality of life,and promote patient recovery.