激励式护理联合正念减压训练在早中期结直肠癌患者中的应用效果

Application effect of incentive nursing combined with mindfulness-based stress reduction training on patients with early and middle stage colorectal cancer

目的考察激励式护理联合正念减压训练对早中期结直肠癌患者化学药物治疗(简称“化疗”)依从性和生活质量的影响。方法选取2019年8月至2021年6月在徐州医科大学附属医院接受治疗的100例早中期结直肠癌患者作为研究对象,依据不同干预方式分为对照组(50例)和观察组(50例)。对照组患者接受激励式护理联合放松训练,观察组患者接受激励式护理联合正念减压训练。比较2组患者的心理状态、压力水平、疾病应对方式、生活质量和化疗依从性。结果干预8周后,2组的焦虑自评量表(SAS)、抑郁自评量表(SDS)和压力知觉量表中文版(CPSS)评分均低于同组干预前(P均<0.05),且观察组的SAS、SDS和CPSS评分均低于对照组(P均<0.05);2组的面对评分均高于同组干预前(P均<0.05),回避和屈服评分均低于同组干预前(P均<0.05),且观察组的面对评分高于对照组、回避和屈服评分均低于对照组(P均<0.05);2组的躯体、社会、认知、情绪和角色功能评分均高于同组干预前(P均<0.05),且观察组的躯体、社会、认知、情绪和角色功能评分均高于对照组(P均<0.05)。观察组的化疗依从率高于对照组(P<0.05)。结论激励式护理联合正念减压训练可提高早中期结直肠癌患者的化疗依从性和生活质量,改善其心理状态,降低自身压力水平,使其积极面对疾病。

Objective To investigate the effect of incentive nursing combined with mindfulnessbased stress reduction training on the chemotherapy compliance and quality of life of patients with early and middle stage colorectal cancer.Methods One hundred patients with early and middle stage colorectal cancer who were treated at the Affiliated Hospital of Xuzhou Medical University from August 2019 to June 2021 were enrolled.They were assigned into a control group(50 cases)and an observation group(50 cases)by different intervention methods.The control group received incentive nursing combined with relaxation training,and the observation group received incentive nursing combined with mindfulness-based stress reduction training.The psychological state,stress level,disease coping style,quality of life,and chemotherapy compliance were compared between two groups.Results After 8 weeks of intervention,the scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS),and Chinese perceived stress scale(CPSS)in both groups were lower than those before intervention(all P<0.05),and the observation group had lower SAS,SDS,and CPSS scores than the control group(all P<0.05).The scores of confrontation in both groups were higher than those before intervention,and the scores of avoidance and acceptance-resignation were lower than those before intervention(all P<0.05).The observation group had higher scores of confrontation and lower scores of avoidance and acceptance-resignation than the control group(all P<0.05).The scores of physical,social,cognitive,emotional,and role function in both groups were higher than those before intervention(all P<0.05),and the observation group had higher scores of physical,social,cognitive,emotional,and role function than the control group (all P < 0. 05). The chemotherapy compliance rate of the observation group was higher than that of the control group (P <0. 05). Conclusion Incentive nursing combined with mindfulness-based stress reduction training can improve the chemotherapy compliance and quality of life of patients with early and middle stage colorectal cancer, improve their psychological state, reduce their stress level, and make them positively face the disease.