正念减压结合渐进性肌肉放松训练在癌痛爆发期伴焦虑患者中的应用效果

Efficacy of Mindfulness Decompression Combined with Progressive Muscle Relaxation Training in Patients with Cancer Pain Outbreak Accompanied by Anxiety

目的探讨正念减压结合渐进性肌肉放松训练对癌痛爆发期伴焦虑患者癌痛、负性情绪及睡眠质量的影响。方法将80例癌痛爆发期伴焦虑患者按简单随机化法分为2组:对照组40例给予正念减压训练,观察组40例给予正念减压结合渐进性肌肉放松训练,连续干预1个月。采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对2组干预前后焦虑和抑郁情绪进行评价,采用匹兹堡睡眠质量指数量表(PSQI)对2组干预前后睡眠质量进行评价,观察2组干预期间癌性爆发痛发生情况。结果观察组癌性爆发痛发生率显著低于对照组(7.5%比25.0%,χ^2=4.501、P<0.05)。2组干预后SAS评分、SDS评分、PSQI评分均较干预前显著减少,且观察组减少较对照组更为显著,差异均有统计学意义(P<0.05)。结论正念减压结合渐进性肌肉放松训练能够显著降低癌痛爆发期伴焦虑患者爆发痛发生率,改善焦虑、抑郁情绪,提高睡眠质量。

Objective To explore the effects of mindfulness decompression combined with progressive muscle relaxation training on negative emotion and sleep quality in patients with anxiety during cancer pain outbreak.Methods Eighty patients with anxiety during cancer pain outbreak were treated with mindfulness decompression training alone(control group,40 patients)or in combination with progressive muscle relaxation training(observation group,40 patients)for 1 month.The anxiety,depression and sleep quality were evaluated using the Self-Rating Anxiety(SAS),Self-Rating Depression(SDS)and Pittsburgh Sleep Quality Index(PSQI)scales,respectively.In addition,breakthrough pain was observed during intervention.Results The incidence of breakthrough pain in observation group was lower than that in control group(7.5%vs 25.0%,χ^2=4.501,P<0.05).After intervention,the scores of SAS,SDS and PSQI decreased in both groups,and those in observation group were lower than those in control group(P<0.05).Conclusion Mindfulness decompression combined with progressive muscle relaxation training can reduce the incidence of breakthrough pain and improve anxiety,depression and sleep quality in patients with anxiety during cancer pain outbreak.