正念减压训练结合移情干预运用于胃癌患者的效果

Analysis on the effect of mindfulness-based stress reduction training combined with empathy intervention in patients with gastric cancer

目的:探讨正念减压训练(MBSRT)结合移情对胃癌患者心理弹性及睡眠质量的影响。方法:选择2018年1-12月收治的120例胃癌患者作为研究对象,采用随机数表法均分为观察组和对照组,每组各60例。两组均采用移情干预,观察组在此基础上增加应用MBSRT。评估干预前、干预2个月后患者心理状况[心理痛苦管理筛查工具(DMSM)、焦虑自评量表(SAS)、抑郁自评量表(SDS)]、心理弹性[心理弹性量表(RS-14)]、癌因性疲乏[中文版简明疲劳量表(BFI-C)]、睡眠质量[匹兹堡睡眠质量指数量表(PSQI)]。结果:干预后,观察组的DMSM、SAS、SDS均显著低于对照组(t=-10.089,-4.877,-6.552;P<0.001);观察组的RS-14评分显著高于对照组(t=7.056,P<0.001);观察组的BFI-C评分、PSQI评分显著低于对照组(t=-7.278,-6.043;P<0.001)结论:MBSRT结合移情能对胃癌心理弹性、睡眠质量等多方面产生积极影响,有临床应用价值。

Objective:To discuss the effects of mindfulness-based stress reduction training(MBSRT)combined with empathy on psychological resilience and sleep quality of patients with gastric cancer.Methods:A total of 120 patients with gastric cancer who were admitted between January 2018 and December 2018 were selected for the study and were divided into observation group and control group according to the random number table method,with 60 cases in each group.The two groups were given empathy intervention,and observation group was added with application of MBSRT on this basis.The psychological status[psychological distress management screening tool(DMSM),Kellas 10 Scale(K10),self-rating depression scale(SDS)],psychological resilience[psychological resilience scale(RS-14)],cancer-related fatigue[Chinese version of brief fatigue inventory(BFI-C)]and sleep quality[Pittsburgh Sleep Quality Index(PSQI)]were evaluated before intervention and after 2 months of intervention.Results:After intervention,the scores of DMSM,SAS and SDS in the observation group were significantly lower than those in the control group(t=-10.089,-4.877,-6.552;P<0.001),the score of RS-14 in the observation group was significantly higher than that in the control group(t=7.056,P<0.001),the scores of BFI-C and PSQI in the observation group were significantly lower than those in the control group(t=-7.278,-6.043;P<0.001).Conclusion:MBSRT combined with empathy has positive effects on the psychological resilience and sleep quality of gastric cancer,and has clinical application value.