正念减压疗法对乳腺癌化疗患者癌因性疲乏及睡眠质量的影响

Effect of mindfulness decompression therapy on cancer-related fatigue and sleep quality in breast cancer patients undergoing chemotherapy

目的探讨正念减压疗法对乳腺癌化疗患者癌因性疲乏及睡眠质量的影响。方法选取2017年1月—2018年12月在本院接受治疗的乳腺癌患者180例,将其按照随机对照原则分为两组,每组90例。对照组接受常规护理干预,观察组在对照组的基础上接受6周的正念减压疗法干预,观察干预前、干预3个月后疲乏水平及睡眠质量。结果干预前两组的感觉、情绪、认知、行为、总疲乏维度评分相比,差异无统计学意义(P值均>0.05),对照组干预3个月后感觉维度、情绪维度、认知维度、行为维度、总疲乏维度分别为(4.89±1.56)、(5.66±1.64)、(5.23±2.25)、(4.56±1.65)、(5.38±2.36),观察组各项维度评分分别为(1.34±0.17)、(2.76±1.24)、(3.26±1.45)、(2.24±1.08)、(5.07±1.62),观察组各项维度评分优于对照组(P值均<0.05)。干预前,两组睡眠质量、睡眠时间、睡眠效率、睡眠障碍及睡眠总分相比,差异均无统计学意义(P>0.05),干预后观察组各项评分分别为(0.77±0.51)、(0.16±0.07)、(0.50±0.22)、(0.13±0.04)、(6.12±1.83),观察组各项数据评分明显优于对照组(P值均<0.05)。结论正念减压疗法能有效缓解乳腺癌患者化疗癌因性疲乏,提高睡眠质量。

Objective To investigate the effect of mindfulness decompression therapy on the cancer fatigue and sleep quality in patients with breast cancer undergoing chemotherapy.Methods A total of 180 patients with breast cancer who received the treatment in a hospital from January 2017 to December 2018 were randomly divided into a control group and a trial group,with 90 cases in each group.The control group received the routine nursing intervention,while the trial group received 6 weeks of mindfulness decompression therapy on the basis of the control group.Before and 3 months after the intervention,the fatigue level and sleep quality were observed.Results There was no significant difference in the scores of feeling,emotion,cognition,behavior and total fatigue between the two groups before the intervention(P>0.05).After 3 months of the intervention,the scores of feeling,emotion,cognition,behavior,and total fatigue in the control group were(4.89±1.56)points,(5.66±1.64)points,(5.23±2.25)points,(4.56±1.65)points,and(5.38±2.36)points respectively,which were higher than those in the trial group[(1.34±0.17)points,(2.76±1.24)points,(3.26±1.45)points,(2.24±1.08)points,and(5.07±1.62)points respectively],and the difference was statistically significant(P<0.05).Before the intervention,there was no significant difference in the sleep quality,sleep time,sleep efficiency,sleep disorder and total sleep score between the two groups(P>0.05).After 3 months of the intervention,the scores of the above indexes in the trial group were(0.77±0.51)points,(0.16±0.07)points,(0.50±0.22)points,(0.13±0.04)points,and(6.12±1.83)points respectively,which were significantly superior to those in the control group(P<0.05).Conclusion The mindfulness decompression therapy can effectively alleviate the chemotherapy cancer fatigue and improve the sleep quality in the patients with breast cancer.