正念减压训练对喉癌术后患者癌因性疲乏和负面情绪的影响

Effects of mindfulness-based stress reduction training on cancer-related fatigue and negative emotions in patients undergoing laryngeal cancer surger

目的 探讨正念减压训练对喉癌术后患者癌因性疲乏和负面情绪的影响。方法 本研究对象为我院2018年1月~2021年1月期间收治的60例喉癌患者,按随机数字表法将研究对象随机分为观察组和对照组,两组患者均接受基础护理,对照组30例患者采用常规心理护理,观察组30例患者采用正念减压训练。比较两组患者护理前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、癌症患者生命质量核心量表中文版(EORTC)评分以及Piper疲乏量表(RPFS)评分。结果 护理后,观察组患者的SAS评分和SDS评分明显低于对照组,EORTC评分明显高于对照组(P<0.05)。护理后,观察组患者的RPFS量表行为、情感、躯体感知、认知疲乏评分明显低于对照组(P<0.05)。结论 正念减压训练能够显著降低喉癌术后患者的焦虑、抑郁情绪,缓解其癌因性疲乏,提升生活质量,值得临床中推广应用。

Objective To investigate the effect of mindfulness-based stress reduction training on cancer-related fatigue and negative emotions in patients undergoing laryngeal cancer surger. Methods A total of 60 laryngeal cancer patients admitted to our hospital from January 2018 to January 2021 were selected as the research subjects. According to the random number table method,the subjects were randomly divided into the observation group and the control group.Patients in both groups received basic nursing care,the control group(30 cases)received conventional psychological nursing,and the observation group(30 cases)received mindfulness-based stress reduction training. The scores of Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Chinese version of Cancer Quality of Life Scale(EORTC)and Piper Fatigue Scale(RPFS)before and after nursing between the two groups were compared.Results After nursing,SAS score and SDS score in observation group were significantly lower than those in control group,and EORTC score was significantly higher than that in control group(P<0.05). After nursing,the scores of behavior,emotion,body perception and cognitive fatigue of RPFS scale in observation group were significantly lower than those in control group(P<0.05). Conclusion Mindfulness stress reduction training can significantly reduce the anxiety and depression of patients after laryngeal cancer surgery,relieve cancer-related fatigue and improve the quality of life,which is worthy of clinical promotion and application.