正念训练在晚期肺癌护理中的应用效果

Application Effect of Mindfulness Training in Nursing of Advanced Lung Cancer

目的评价正念训练在晚期肺癌护理中的应用效果。方法抽取义县人民医院收治的60例晚期肺癌患者开展本次研究,研究时段:2017年9月至2019年8月,根据是否开展正念训练为依据,将60例患者分为对照组、观察组(每组病例数为30例)。对照组患者接受常规护理措施,在对照组实施基础之上加用正念训练的方法为观察组,对比组间的负面心理评分、患者正念度、回避、屈服、面对等情况、生活质量、睡眠质量、护理满意度、自我感受负担评分、应对方式评分。结果负面心理评分与对照组相比观察组较低,差异显著(P<0.05);患者正念度、生活质量、护理满意度方面数据,观察组均高于对照组,有差异(P<0.05);护理前,两组患者的回避评分、屈服评分、面对评分相比,差异不明显(P>0.05);护理后,观察组患者的回避评分、屈服评分均低于对照组,面对评分高于对照组,差异明显(P<0.05);护理前,两组患者的PSQI评分相差不大(P>0.05);护理后,观察组患者的PSQI评分低于对照组(P<0.05);护理前,两组患者的SPBS评分、CCMQ评分相差不大(P>0.05);护理后,观察组患者的SPBS评分、CCMQ评分均低于对照组,差异有统计学意义(P<0.05)。结论在晚期肺癌护理中,正念训练的应用,既可改善患者负面心理,还可提高其正念度、生活质量及护理满意度,改善患者的睡眠质量,改善患者的自我感受负担以及应对方式,值得在临床护理工作中推广。

Objective To evaluate the effect of mindfulness training in the nursing of advanced lung cancer.Methods A total of 60 patients with advanced lung cancer treated in Yixian People's Hospital were selected for this study.The study period was from September 2017 to August 2019.According to whether mindfulness training was carried out,60 patients were divided into control group and observation group(30 cases in each group).The patients in the control group received routine nursing measures.The observation group adopted mindfulness training on the basis of the control group,and compared the negative psychological score,patients'mindfulness,avoidance,submission,confront,quality of life,sleep quality,nursing satisfaction,self-feeling burden score and coping style score.Results The negative psychological score in the observation group was lower than that in the control group(P<0.05).Compared with the control group,the mindfulness,quality of life and nursing satisfaction of the observation group were higher(P<0.05).Before nursing,there was no significant difference in avoidance score,yield score and confront score between the two groups(P>0.05).After nursing,the avoidance score and yield score of patients in the observation group were lower than those in the control group,and the confront score was higher than that in the control group(P<0.05).Before nursing,there was no significant difference in PSQI scores between the two groups(P>0.05).After nursing,the PSQI score of the observation group was lower than that of the control group(P<0.05).Before nursing,there was no significant difference in SPBS score and CCMQ score between the two groups(P>0.05).After nursing,the SPBS score and CCMQ score of the observation group were lower than those of the control group(P<0.05).Conclusion In the nursing of advanced lung cancer,the application of mindfulness training can not only improve patients'negative psychology,but also improve their mindfulness,quality of life and nursing satisfaction,improve patients'sleep quality,self-feeling burden and coping style.It is worth popularizing in clinical nursing.