聚焦解决模式联合正念干预对胃癌病人癌因性疲乏及睡眠质量的影响

EFFECTS OF SOLUTION-FOCUSED APPROACH COMBINED WITH MINDFULNESS INTERVENTION ON CANCER-RELATED FATIGUE AND SLEEP QUALITY IN PATIENTS WITH GASTRIC CANCER

目的探讨聚焦解决模式联合正念干预对胃癌术后病人癌因性疲乏及睡眠质量的影响。方法将120例胃癌术后病人随机分为两组,各60例。对照组采用胃癌术后的常规护理,观察组在胃癌术后常规护理基础上,在经专门培训的研究人员指导下进行聚焦解决模式联合正念干预。两组分别于干预前和干预后6个月时采用疲乏修订自评量表进行癌因性疲乏和睡眠质量的评估。结果干预6个月后,对照组完成研究58例,观察组完成研究57例。观察组的疲乏修订自评量表总分及各子条目得分均低于对照组,入睡时间、夜间苏醒、早醒情况、总睡眠时间、总睡眠质量、白天情绪、白天身体功能和白天思睡得分、总分均显著高于对照组,差异有显著性(t=2.488~13.781,P<0.05)。结论聚焦解决模式联合正念干预可有效改善胃癌术后病人的癌因性疲乏和睡眠质量,值得在临床推广应用。

Objective To investigate the effects of solution-focused approach combined with mindfulness intervention on cancer-related fatigue and sleep quality in patients with gastric cancer. Methods A total of 120 patients who had undergone surgery for gastric cancer were equally and randomly divided into control group and observation group.The control group was given routine nursing,while the observation group was given solution-focused approach combined with mindfulness intervention under the guidance of specially trained researchers in addition to the routine nursing.The cancer-related fatigue and sleep quality of all patients were assessed by the modified self-rating fatigue scale and the sleep quality scale,respectively,before intervention and after6 months of intervention. Results After 6 months of intervention,58 patients in the control group and 57 patients in the observation group completed all scheduled procedures.The observation group had significantly lower total score and score of each item in the modified self-rating fatigue scale than the control group（t=2.488-4.084,P0.05）.And the observation group had significantly higher total score of sleep quality and scores of sleep latency,nighttime awaking,early awaking,total sleep time,total sleep quality,daytime mood,daytime physical function,and daytime sleepiness than the control group（t=6.154-13.781,P0.05）.Conclusion Solution-focused approach combined with mindfulness intervention can effectively improve the cancer-related fatigue and sleep quality of patients with gastric cancer after surgery.It holds promise for application in clinical nursing.