循经冥想联合积极心理暗示对乳腺癌化疗患者心境及疲乏-睡眠障碍症状群的影响

Effect of Meridian-following Meditation Combined with Positive Psychological Suggestions on Mood and Fatigue-sleep Disorders Symptom Clusters of Breast Cancer Patients Undergoing Chemotherapy

目的观察循经冥想联合积极心理暗示对乳腺癌化疗患者心境及疲乏⁃睡眠障碍症状群的影响。方法于2021年1-6月,选择江苏省人民医院乳腺科收治的乳腺癌术后拟行化疗患者80例为研究对象,按照在线随机数字生成器生成的随机数字表将其分为观察组(n=38)和对照组(n=42)。研究过程中观察组脱落4例、对照组脱落5例,最终观察组34例患者、对照组37例患者完成研究。对照组实施化疗常规护理及分级心理干预,观察组在对照组基础上增加循经冥想联合积极心理暗示干预,分别在两组干预前、第2次化疗(干预3周)、第3次化疗(干预6周)及第4次化疗(干预9周)时,采用简式简明心境问卷、匹兹堡睡眠质量指数及癌症疲乏量表评价干预效果。结果多元方差分析结果显示,干预后两组患者简式简明心境问卷、匹兹堡睡眠质量指数及癌症疲乏量表评分均较干预前下降,但观察组评分低于对照组,且评分随干预时间的变化而变化,干预时间越长其得分越低(简式简明心境问卷:F_(交互)=32.933,P<0.05;匹兹堡睡眠质量指数:F_(交互)=38.536,P<0.05;癌症疲乏量表:F_(交互)=55.735,P<0.05)。结论循经冥想联合积极心理暗示能够改善乳腺癌化疗患者的负性心境及疲乏⁃睡眠障碍症状群的困扰,促进患者身心康复。

Objective To observe the effect of meridian-following meditation combined with positive psychological suggestions on mood and fatigue-sleep disorders symptom clusters of breast cancer patients undergoing chemotherapy.Methods From January to June 2021,a total of 80 breast cancer patients scheduled for postoperative chemotherapy in the Breast Department of Jiangsu Province Hospital were selected.They were divided into the observation group(n=38)and the control group(n=42)by using a random number table generated by an online random number generator.During the study,4 cases dropped out in the observation group and 5 in the control group.Finally,34 cases completed the study in the observation group and 37 in the control group.The control group was given routine chemotherapy care and hierarchical psychological intervention,while the observation group was added with meridian-following meditation combined with positive psychological suggestions on this basis.The two groups were evaluated for intervention effect using the Short Form of the Profile of Mood States(POMS-SF),Pittsburgh Sleep Quality Index(PSQI)and Cancer Fatigue Scale(CFS)before the intervention,and at the second chemotherapy(3 weeks of intervention),the third chemotherapy(6 weeks of intervention)and the fourth chemotherapy(9 weeks of intervention),respectively.Results Multivariate analysis of variance showed that the scores of POMS-SF,PSQI and CFS in the two groups after intervention were lower than those before intervention,but the scores in the observation group were lower than those in the control group;the scores varied with the duration of intervention:the longer the intervention,the lower the scores(POMS-SF:F_(interaction)=32.933,P<0.05;PSQI:F_(interaction)=38.536,P<0.05;CFS:F_(interaction)=55.735,P<0.05).Conclusion Meridian-following meditation combined with positive psychological suggestions can improve the negative mood and fatigue-sleep disorders symptom clusters of breast cancer patients undergoing chemotherapy,and promote their physical and mental rehabilitation.