永久性肠造口患者疾病获益感的正念认知干预

Mindfulness-based cognitive intervention improves benefit finding in patients with a permanent colostomy

目的提高永久性肠造口患者疾病获益感及相应正性认知。方法将60例结直肠癌行永久性肠造口术后患者随机分为对照组与观察组各30例;对照组行肠造口术后常规护理;观察组在常规护理的基础上,实施正念认知疗法干预方案8周,于干预前、干预完成时、干预完成后4周测评效果。结果干预后观察组疾病获益感、领悟社会支持、医学应对方式、焦虑抑郁、社会心理适应得分显著优于对照组(P<0.05,P<0.01)。结论正念认知疗法能促进患者面对身心创伤以积极心态面对,提高疾病获益感,降低焦虑抑郁情绪,从而提高社会心理适应水平。

Objective To improve benefit finding and positive cognition in patients with a permanent colostomy.Methods Sixty patients with colorectal cancer undergoing permanent colostomy were randomized into a control group and an observation group,with 30 in each.The control group received routine postoperative care,and the observation group were additionally given mindfulness-based cognitive therapy(MBCT)intervention for 8 consecutive weeks.The effect was assessed before,immediately after and 4 weeks after the intervention.Results The observation group had significantly higher scores of benefit finding,perceived social support,medical coping modes,and ostomy adjustment,whereas significantly lower scores of anxiety and depression,than the control group after the intervention(P<0.05,P<0.01).Conclusion MBCT helps patients positively face physical and mental trauma,improve their benefit finding,alleviate anxiety and depression,and enhance ostomy adjustment.