正念减压训练对乳腺癌术后化疗患者应对方式及心身症状的影响

Effect of mindfulness decompression training on coping styles and psychosomatic symptoms of breast cancer patients undergoing chemotherapy

目的分析正念减压训练对乳腺癌术后化疗患者应对方式及心身症状的影响。方法选择江苏省人民医院2018年1月至2020年1月接受乳腺癌术后化疗患者82例为研究对象,采用随机数字表法分为对照组和干预组,每组各41例,对照组接受常规干预,干预组接受正念减压训练干预。随访6个月,比较两组应对方式、心身症状、癌因性疲乏评分。结果随访6个月,干预组随访脱落3例,对照组随访脱落1例。两组屈服、回避评分低于同组干预前,面对评分高于同组干预前,且干预组屈服、回避评分低于对照组,面对评分高于对照组(P<0.05);两组心身症状评分均低于同组干预前,且干预组核心症状、对生活的影响、心身症状总分低于对照组(P<0.05);两组癌因性疲乏评分低于同组干预前,且干预组躯体疲乏、心理疲乏、疲乏对生活的影响、癌因性疲乏总分低于对照组(P<0.05)。结论正念减压训练有助于促进乳腺癌术后化疗患者积极应对方式的养成,规避消极应对行为,改善心身症状及癌因性疲乏程度。

Objective To analyze the effect of mindfulness decompression training on coping styles and psychosomatic symptoms of breast cancer patients undergoing chemotherapy.Methods A total of 82 patients receiving breast cancer chemotherapy from January 2018 to January 2020 were selected from the Jiangsu Provincial People’s Hospital.They were divided into control group and intervention group by random number table rnethod,with 41 cases each group.The control group received routine intervention and the intervention group received mindfulness stress reduction training intervention.Followed up for six months,the scores of coping style,psychosomatic symptoms and cancer-related fatigue were compared between the two groups.Results After six months of follow-up,three cases fell off in the intervention group and one case fell off in the control group.The yield and avoidance scores of the two groups were lower than those before intervention,and the face score was higher than that before intervention,and the yield and avoidance scores of the intervention group were lower than those of the control group,and the face score was higher than that of the control group(P<0.05).The scores of psychosomatic symptoms in both groups were lower than those before intervention,and the core symptoms,impact on life and total psychosomatic symptoms in intervention group were lower than those in control group(P<0.05);the scores of cancer-related fatigue in the two groups were lower than those before intervention,and the scores of physical fatigue,psychological fatigue,the impact of fatigue on life and cancer-related fatigue in the intervention group were lower than those in the control group(P<0.05).Conclusion Mindfulness decompression training can promote the development of positive coping style,avoid negative coping behavior,improve psychosomatic symptoms and cancer-related fatigue degree of breast cancer patients after chemotherapy.