正念减压配合渐进式肌肉放松训练对肺癌化疗患者护理效果分析

Nursing effect of mindfulness decompression combined with gradual muscle relaxation training on lung cancer patients after chemotherapy

目的探讨正念减压(MBSR)配合渐进式肌肉放松训练对肺癌化疗患者的护理效果。方法抽取2017年6月至2019年5月间于江南大学附属医院确诊并接受同种化疗方案的肺癌患者112例作为研究对象,按照双色球法随机分为两组各56例。对照组化疗期间行常规护理,研究组在常规护理基础上行MBSR配合渐进式肌肉放松训练干预,连续干预4周,采用修订版疲乏量表(RPFS)、中文版心理弹性量表(CD-RISC)、医学应对方式问卷(MCMQ)评估干预前后两组患者癌症相关性疲乏、心理弹性状态以及应对方式。结果干预前两组患者RPFS各项评分、CD-RISC各项评分及MCMQ评分差异无统计学意义(P>0.05)。干预后研究组RPFS各项评分均显著低于对照组(均P<0.05);CD-RISC各项评分远高于对照组(均P<0.05);MCMQ评分中屈从、回避得分低于对照组,面对得分高于对照组(均P<0.05)。结论对肺癌化疗患者采用正念减压联合渐进式肌肉放松训练进行护理干预可有效缓解患者疲乏症状,提升患者心理弹性水平,促使其以积极应对方式面对疾病与临床治疗,对疾病控制以及改善预后具有积极作用。

Objective To investigate the nursing effect of mindfulness based stress reduction(MBSR)combined with gradual muscle relaxation training on patients with lung cancer undergoing chemotherapy.Methods A total of 112 lung cancer patients who were diagnosed and treated with chemotherapy in the Affiliated Hospital of Jiangnan University from June 2017 to May 2019 were selected and randomly divided into two groups according to the method of dual color ball,with 56 cases in each group.The patients in control group were treated with routine treatment.The patients in research group were treated with MBSR combined with gradual muscle relaxation training for 4 weeks.The cancer-related fatigue,psychological resilience status and coping style of patients were assessed by the Revised Piper's Fatigue Scale(RPFS),Chinese version of the Psychological Resilience Scale(CD-RISC),and Medical Coping Modes Questionnaire(MCMQ)in both of the two groups before and after the intervention.Results There was no significant difference on scores of RPFS,CD-RISC and MCMQ between the two groups before the intervention.The RPFS score of the research group was significantly lower than that of the control group after the intervention(P<0.05).And the CD-RISC score of research group was significantly higher than that of the control group(P<0.05).Scores of flexion and avoidance in research group were significantly lower than those in the control group(P<0.05).Conclusions MBSR combined with progressive muscle relaxation training in lung cancer patients with chemotherapy was effective in relieving patients'fatigue symptoms and elevating patients'psychological resilience level,which has important positive implications for disease control as well as improving prognosis.