团体正念认知疗法对胃癌患者焦虑抑郁状况及生活质量的干预效果

目的探讨团体正念认知疗法对胃癌患者焦虑抑郁情况及生活质量的干预效果。方法胃癌患者60例，随机分为干预组与对照组，每组各30例。两组均进行常规护理及健康教育，干预纽在此基础上进行每周1次，共8次团体正念认知疗法。干预前后采用焦虑自评量表（SAS）、抑郁自评量表（SDS）及生活质量测定问卷对患者进行测评，评估其干预效果。结果经过8周团体正念认知疗法干预后，干预组SAS、SDS评分显著低于对照组（P〈0．05）。干预组在自区体功能、角色功能、认知功能、情绪功能和社会功能5项功能较对照组明显提高（P〈0．05）；干预组在疼痛、疲乏、恶心与呕吐3个症状较对照组明显改善（P〈0．05）；干预组呼吸困难、食欲减弱、便秘等症状较干预前明显改善（P〈0．05）；干预组总体健康状况较对照组明显提高（P〈0．05）。结论团体正念认知疗法能有效缓解胃癌患者焦虑抑郁情绪，明显提高其生活质量。

Objective The proposed trial will determine the effectiveness of group mindfulness-based cognitive therapy for anxiety, depression and quality of life of patients with gastric cancer. Methods A randomized controlled trial was used to evaluate the effectiveness of group mindfulness- based cognitive therapy to treat anxiety and depression of patients with gastric cancer. A sample of 60 patients with gastric cancer were enrolled and randomized to intervention group （ n=30 ） and control group （ n=30 ） .Assessments of psychological distress and quality of life of patients with gastric cancer were performed in both groups at baseline and after 8 weeks by self-rating anxiety scale （ SAS ） , self-rating depression scale （ SDS ） and quality of life questionnaire.The mean differences in anxiety and depression and quality of life between the intervention group and the control group were compared. Results Baseline characteristics did not differ statistically between two groups.8 weeks of group mindfulness-based cognitive therapy reduced depression and anxiety compared with the control group （ P〈0.05 ） .The intervention group had significant difference in terms of SAS and SDS （ P〈0.05 ） .The intervention group improved significantly compared with the control group in physical function, role function, cognitive function, emotional function and social function （P〈0.05） .The intervention group had less symptoms of pain, fatigue, nausea and vomiting than the control group （ P〈0.05 ） .The intervention group improved significantly compared with the control group in symptoms of dyspnea, appetite, and constipation （ P〈0.05 ） . The intervention group increased significantly compared with the control group in terms of general health （ P〈0.05 ） . Conclusion The results indicate that group mindfulness-based cognitive therapy is effective in lowering anxiety and depression, and in improving quality of life of patients with gastric cancer.