乳腺癌化疗患者心理社会适应状态现状分析及正念减压疗法的干预效果

Status Quo of Psychosocial Adaptation State in Breast Cancer Patients Undergoing Chemotherapy and the Intervention Effect of Mindfulness-based Stress Reduction Therapy

目的:探讨乳腺癌化疗患者心理社会适应状态现状及正念减压疗法的干预效果。方法:对2020年3月-2021年5月福建医科大学附属第一医院收治的乳腺癌接受化疗的患者作为研究对象,共计纳入84例,按照随机数字法将其分为观察组和对照组,每组42例。对两组患者的心理社会适应状态现状进行分析,然后针对对照组采取化疗后常规护理方案,观察组在常规护理方案基础上增加正念减压疗法,对两组患者干预前后心理社会适应状态及焦虑情绪情况进行对比。结果:干预后,观察组患者的心理社会适应状态评分各个维度评分均高于对照组,差异均有统计学意义(P<0.05);干预后,观察组患者的匹兹堡睡眠质量指数量表(PSQI)评分高于对照组,差异有统计学意义(P<0.05)。结论:对乳腺癌化疗患者实施正念减压疗法干预可改善患者的心理社会适应状态和睡眠质量,效果较好,值得应用和推广。

Objective:To investigate the status quo of psychosocial adaptation state in breast cancer patients undergoing chemotherapy and the intervention effect of mindfulness-based stress reduction therapy.Method:A total of 84 patients with breast cancer who received chemotherapy in the First Affiliated Hospital of Fujian Medical University from March 2020 to May 2021 were selected as the research objects,and they were divided into observation group and control group according to the random number method,with 42 cases in each group.The psychosocial adaptation status of the two groups of patients were analyzed,and then the control group was given routine nursing after chemotherapy,and the observation group was given mindfulness-based stress reduction therapy on the basis of the routine nursing.The psychosocial adaptation and anxiety emotion of the two groups were compared before and after the intervention.Result:After the intervention,the scores of psychosocial adaptation status of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the Pittsburgh sleep quality index(PSQI)score of the observation groups were higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:The intervention of mindfulness-based stress reduction therapy for breast cancer patients undergoing chemotherapy can improve the psychosocial adaptation state and sleep quality of the patients,and the effect is good,which is worthy of application and promotion.