早期乳腺癌患者进行正念训练对其负性情绪、应对方式及生活质量的影响

Effect of mindfulness training on negative emotion,coping style and quality of life of early breast cancer patients

目的:探究早期乳腺癌患者进行正念训练对其负性情绪、应对方式及生活质量的影响。方法:选取2019年1月至2020年1月本院收治的196例早期乳腺癌患者作为研究对象,按照入院时的顺序进行编号,根据单双数不同分为两组,观察组和对照组各98例,对照组患者接受常规健康教育干预,观察组患者在对照组基础上接受正念训练,比较两组患者的负性情绪、应对方式、生活质量以及医护满意度情况。结果:干预6周后,观察组患者抑郁自评表(SDS)评分低于对照组(t=-3.210,P<0.05);观察组患者焦虑自评表(SAS)评分低于对照组(t=-3.049,P<0.05);观察组患者简易应对方式问卷(SCSQ)中积极应对评分高于对照组(t=29.471,P<0.05),消极应对评分低于对照组(t=-26.433,P<0.05);观察组患者生活质量评价量表(SF-36)中生理职能、生理机能、躯体健康、躯体疼痛、情感职能、社会功能、精神健康以及精力8个维度评分均高于对照组(t=14.676,11.851,6.167,6.289,8.155,13.354,6.765,7.184;P<0.05);观察组患者满意度高于对照组(χ^(2)=6.939,P<0.05)。结论:正念训练应用于早期乳腺癌,能改善患者的负性情绪和消极应对方式,提高患者的积极应对方式、生活质量以及医护满意度。

Objective:To explore the influence of mindfulness training on negative emotion,coping style and quality of life of early breast cancer patients.Methods:A total of 196 patients with early breast cancer admitted to our hospital from January 2019 to January 2020 were selected as research objects,numbered according to the order of admission,and divided into two groups according to the difference of single and double numbers.Patients in the control group received routine health education intervention,while patients in the observation group received mindfulness training based on the control group.The negative emotions,coping styles,quality of life and medical satisfaction of the two groups were compared.Results:After 6 weeks of intervention,the scores of SDS in the observation group were lower than those in the control group(t=-3.210,P<0.05).The scores of SAS in observation group were lower than those in control group(t=-3.049,P<0.05).In the SCSQ,the scores of positive coping in the observation group were higher than those in the control group(t=29.471,P<0.05),while the scores of negative coping were lower than those in the control group(t=-26.433,P<0.05).The scores SF-36 physiological function,physiological function,physical health,physical pain,emotional function,social function,mental health and energy in the observation group were higher than those in the control group(t=14.676,11.851,6.167,6.289,8.155,13.354,6.765,7.184,P<0.05).Patients’satisfaction in the observation group was higher than that in the control group(χ^(2)~2=6.939,P<0.05).Conclusion:Mindfulness training can improve patients’negative emotion and negative coping style,and improve patients’positive coping style,quality of life and medical satisfaction.