正念训练对不同自我效能水平围手术期乳腺癌患者焦虑及生活质量的影响

Influence of mindfulness behavior training on anxiety and the quality of life of breast cancer patients with different degree of self-efficacy at perioperative periods

目的探讨正念训练对不同自我效能水平围手术期乳腺癌患者焦虑及生活质量的影响。方法选取256例围手术期乳腺癌患者，随机分为干预组（125例）和对照组（131例）。对照组采用抗肿瘤药物治疗加常规心理治疗方法，干预组在此基础上采用正念行为训练，收集患者临床资料，分析正念训练对不同自我效能水平围手术期乳腺癌患者焦虑及生活质量的影响。结果干预组65例完全缓解，40例患者部分缓解，15例稳定，5例进展，总有效率96％；对照组55例完全缓解，45例患者部分缓解，12例稳定，19例进展，总有效率85．5％，差异具有统计学意义（P〈0．05）；高效能水平组的SAS及QLSBC各维度评分较低效能组比较有明显改善（P〈0．05）；多因素回归显示：正念水平与患者焦虑状态和生活质量均呈负相关。结论正念训练可以明显改善不同自我效能水平围手术期乳腺癌患者心理状况，提高生活质量。

Objective To explore the effects of mindfulness behavior training on anxiety and quality of life of breast cancer patients with different degree of self-efficacy at perioperative periods. Methods A total of 256 cases of breast cancer patients at perioperative periods were recruited and divided into two groups, with 131 cases in the control group and 125 cases in the intervention group. The control group received drug therapy and conventional care, while the intervention group received mindfulness behavior training on the basis of conventional care and drug therapy. The clinical data of the patients were collected. The influence of mindfulness behavior training on anxiety and the quality of life of breast cancer patients were analyzed. Results The intervention group with 65 CR, 40 PR, 15 SD and 5 PD, and the to- tal effectiveness rate was 96%. While the control group with 55 CR, 45 PR, 12 SD and 19 PD, and the total effectiveness rate was 85. 5%, and the differences were statistically significant （P〈0. 05） . The different dimension scores of SAS and QLSBC of the high-level self-efficacy group was more significantly improved than that of the low-level self-efficacy group （ P〈0. 05 ） . Logistic regression analysis showed that the level of mindfulness behavior were negatively correlated with anxi- ety and quality of life. Conclusions Mindfulness behavior training can improve the psychological status of breast cancer patients with different degree of self-efficacy at perioperative periods and improve their quality of life.