正念减压疗法对宫颈癌患者自我管理能力及护理质量的影响

Effect of Mindfulness-Based Stress Reduction Therapy on Self-management Ability and Nursing Quality of Cervical Cancer Patients

目的:探讨正念减压疗法(MBSR)对宫颈癌患者自我管理能力及护理质量的影响。方法:将2016年3月1日~2019年4月30日收治的220例宫颈癌患者随机分为对照组和研究组各110例,对照组采用常规治疗和护理措施,研究组在对照组基础上采用MBSR进行干预。比较两组患者干预前后自我管理能力、睡眠质量、心理状态及生存质量评分,同时评估其护理质量。结果:干预后研究组患者自我管理能力和生存质量评分高于对照组,匹兹堡睡眠质量指数量表(PSQI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组(P<0.05);研究组患者护理质量优于对照组(P<0.05)。结论:MBSR应用于宫颈癌患者的护理中,可有效提高患者的自我管理能力、睡眠质量及生存质量,改善负性情绪,从而提高护理质量。

Objective:To investigate the effect of MBSR on self-management ability and nursing quality of cervical cancer patients.Methods:From March 1,2016 to April 30,2019,220 patients with cervical cancer were randomly divided into control group and research group with 110 patients in each group.The control group received routine treatment and nursing care and the research group used MBSR to intervene on the basis of the control group.The scores of self-management ability,sleep quality,psychological state and quality of life before and after intervention were compared between the two groups.Results:After intervention,the scores of self-management ability and quality of life in the research group were higher than those in the control group,and the scores of Pittsburgh sleep quality index scale(PSQI),self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were lower than those in the control group(P<0.05).The nursing quality of patients in the research group was better than that in the control group(P<0.05).Conclusion:The application of MBSR in the nursing of cervical cancer patients can effectively improve the patients′self-management ability,sleep quality and quality of life,and reduce the negative emotions,so as to promote the quality of nursing.