放松疗法联合正念训练对胰腺癌切除术患者疼痛心境状态及睡眠质量的影响

The effect of relaxation therapy combined with mindfulness training on pain,mood and sleep quality of patients undergoing pancreatic cancer resection

目的探讨放松疗法联合正念训练对胰腺癌切除术患者疼痛、心境状态及睡眠质量的影响。方法将92例胰腺癌切除术患者按入院时间分为研究组与对照组,各46例。两组均给予常规干预,研究组在此基础上给予放松疗法联合正念训练,观察1个月。干预前后采用视觉模拟评分法评定两组疼痛程度,采用Herth希望量表评定两组希望水平,采用匹兹堡睡眠质量指数评定两组睡眠质量,采用简式简明心境问卷评定两组心境状态,采用医学应对方式问卷评定两组应对方式,干预后采用纽卡斯尔护理满意度量表评定两组护理满意度。结果干预后两组视觉模拟评分法评分均显著低于干预前(P<0.01),Herth希望量表评分均显著高于干预前(P<0.01),研究组较对照组评分变化更显著(P<0.01);两组匹兹堡睡眠质量指数各项评分均较干预前显著降低(P<0.01),研究组较对照组下降更显著(P<0.05或0.01);两组简式简明心境问卷的精力维度评分均较干预前显著升高(P<0.01),其余维度评分均较干预前显著降低(P<0.05或0.01),研究组较对照组评分变化更显著(P<0.05或0.01);两组医学应对方式问卷面对维度评分均较干预前显著升高(P<0.01),回避、屈服维度评分均较干预前显著降低(P<0.01),研究组较对照组评分变化更显著(P<0.01)。研究组满意率显著高于对照组(P<0.05)。结论放松疗法联合正念训练可有效降低胰腺癌切除术患者疼痛程度,增强希望水平,改善心境状态及应对方式,提升睡眠质量及满意度。

Objective To investigate the effect of relaxation therapy combined with mindfulness training on pain,mood and sleep quality of patients undergoing pancreatic cancer resection.Methods A total of 92 patients with pancreatic cancer resection were enrolled.According to the order of admission,they were divided into study group and control group,each with 46 cases.Both groups were given routine intervention,and the study group was given relaxation therapy combined with mindfulness training on this basis.Observe for 1 month.Before and after the intervention,the visual analogue scale(VAS)was used to assess the pain degree of the two groups,the Herth hope index(HHI)was used to assess the hope level of the two groups,the pittsburgh sleep quality index(PSQI)was used to assess the sleep quality of the two groups,and the profile of mood states-short form(POMS-SF)was used to assess the mood states of the two groups,the medical coping modes questionnaire(MCMQ)was used to assess the coping styles of the two groups,and the Newcastle nursing service satisfaction scale(NSNS)was used to assess the nursing satisfaction of the two groups after the intervention.Results After the intervention,the VAS scores of the two groups were significantly lower than those before the intervention(P<0.01),and the HHI scores were significantly higher than those before the intervention(P<0.01).The study group had a more significant change than the control group(P<0.01).The PSQI scores of the two groups were significantly lower than before the intervention(P<0.01),and the study group was significantly lower than the control group(P<0.05 or 0.01).The energy scores of the two groups of POMS-SF were significantly higher than those before the intervention(P<0.01),and the scores of other dimensions were significantly lower than those before the intervention(P<0.05 or 0.01).The study group had a more significant change than the control group(P<0.05 or 0.01).The MCMQ face dimension scores of the two groups were significantly higher than before the intervention(P<0.01),and the avoidance and yield dimension scores were significantly lower than those before the intervention(P<0.01).The study group had a more significant change than the control group(P<0.01).The satisfaction rate of the study group was significantly higher than that of the control group(P<0.05).Conclusions Relaxation therapy combined with mindfulness training can effectively reduce the pain of patients undergoing pancreatic cancer resection,increase hope,improve mood and coping styles,and improve sleep quality and satisfaction.