心智觉知干预方案对乳腺癌放疗患者心理社会适应的影响

Influence of mental awareness intervention program on psychosocial adaptation of patients with breast cancer with radiotherapy

目的分析心智觉知干预方案对乳腺癌放疗患者的心理社会适应的影响。方法选取2019年1—12月南方医科大学附属小榄医院收治的88例乳腺癌放疗患者作为研究对象,采用随机数字表法将其分为对照组(44例)和观察组(44例)。对照组进行常规护理,观察组则在常规护理基础上进行心智觉知干预,比较两组干预前后的心理社会适应评分及心智觉知水平评分情况。结果两组干预前的焦虑/抑郁、自尊和自我接纳、态度、归属感、自我控制及自我效能评分比较,差异无统计学意义(P>0.05);两组干预后的焦虑/抑郁、自尊和自我接纳、态度、归属感、自我控制及自我效能评分高于干预前;且观察组干预后的焦虑/抑郁、自尊和自我接纳、态度、归属感、自我控制及自我效能评分高于对照组,差异均有统计学意义(P<0.05)。两组干预前的心智觉知评分比较,差异无统计学意义(P>0.05);两组干预后的心智觉知评分高于干预前;且观察组干预后的心智觉知评分高于对照组,差异均有统计学意义(P<0.05)。结论心智觉知干预方案在临床对乳腺癌放疗患者的心理社会适应有改善效果,在临床值得借鉴和推广。

Objective To analyze the influence of mental awareness intervention program on the psychosocial adaptation of breast cancer patients with radiotherapy.Methods Eighty-eight breast cancer patients who accepted radiotherapy and were admitted to Xiaolan Hospital of Southern Medical University from January to December 2019 were selected as the research subjects.They were divided into the control group(n=44)and the observation group(n=44)by random number table method.Patients in the control group received routine nursing care,and in the observation group,they received mental awareness intervention on the basis of routine nursing.The scores of psychosocial adaptation and mental awareness level between the two groups were compared before and after the intervention.Results There were no significant difference in score of anxiety/depression,self-esteem and self-acceptance,attitude,sense of belonging,self-control or self-efficacy between the two groups before intervention(P>0.05).The scores of anxiety/depression,self-esteem and self-acceptance,attitude,sense of belonging,self-control and self-efficacy between the two groups after intervention were higher than those in the same group before the intervention,the observation group had higher scores of anxiety/depression,self-esteem and self-acceptance,attitude,sense of belonging,self-control and self-efficacy after the intervention than the control group,the differences were statistically significant(P<0.05).There was no significant difference between the observation group and the control group in the scores of mental awareness before the intervention(P>0.05).The scores of the mental awareness of the two groups after intervention were higher than those in the same group before the intervention,the score of mental awareness level after intervention in the observation group was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion The mental awareness intervention program can improve the psychosocial adaptation of patients with breast cancer for radiotherapy in clinic,and it is worthy of reference and promotion in clinical practice.