基于正念情绪调节模型的心理干预在放疗后进食困难患者康复护理中的应用

Application of psychological intervention based on mindfulness emotion regulation model in rehabilitation nursing of patients with eating difficulties after radiotherapy

目的 探讨基于正念情绪调节模型的心理干预在放疗后进食困难患者康复护理中的应用效果。方法2019年1月—2020年5月,选取蚌埠医学院第一附属医院收治的98例放疗后进食困难患者,随机分为2组,对照组(n=49)给予常规护理,干预组(n=49)在上述基础上给予正念情绪调节模型的心理干预。比较2组患者护理前后的生活质量(情绪功能、躯体功能、认知功能)评分、焦虑自评量表(SAS)评分和标准吞咽功能评估量表(SSA)评分。结果2组护理前的生活质量评分无明显差异(P>0.05),护理后均明显上升,且干预组的情绪功能、躯体功能、认知功能评分升幅更明显(P<0.05)。2组护理前的SAS评分无明显差异(P>0.05),护理后均明显下降,且干预组降幅更明显(P<0.05)。护理前,2组的SSA评分无显著性差异(P>0.05);护理后均明显降低,且干预组的降幅更明显(P<0.05)。结论 基于正念情绪调节模型的心理干预在放疗后进食困难患者康复护理中可提高生活质量,缓解焦虑情绪,改善吞咽功能。

Objective To explore the application of psychological intervention based on mindfulness emotion regulation model in rehabilitation nursing of patients with eating difficulties after radiotherapy. Methods From January 2019 to may2020,98 patients with eating difficulties after radiotherapy were randomly divided into two groups.The control group(n=49)was given routine nursing.The intervention group(n=49)was given psychological intervention of mindfulness emotion regulation model on the basis of the above.The scores of quality of life(emotional function,physical function,cognitive function),self rating Anxiety Scale(SAS)and standard swallowing function assessment scale(SSA)were compared between the two groups before and after nursing.Results There was no significant difference in the scores of quality of life(emotional function,physical function and cognitive function)between the two groups before nursing(P>0.05).The scores of quality of life(emotional function,physical function and cognitive function)increased significantly after nursing in the two groups,and the increase of the scores of quality of life(emotional function,physical function and cognitive function)was more obvious in the intervention group(P<0.05).There was no significant difference in SAS score between the two groups before nursing(P>0.05).The SAS scores of the two groups decreased significantly after nursing,and the decrease of SAS scores was more obvious in the intervention group(P<0.05).Before nursing,there was no significant difference in SSA score between the two groups(P>0.05).After nursing,the SSA score of the two groups decreased significantly,and the decrease of SSA score was more obvious in the intervention group(P<0.05). Conclusion Psychological intervention based on mindfulness emotion regulation model can improve the quality of life,alleviate anxiety and improve swallowing function in the rehabilitation nursing of patients with eating difficulties after radiotherapy.