正念行为训练联合共情护理干预对乳腺癌根治术患者自我效能和心理弹性的影响

Effect of mindfulness behavior training combined with empathy nursing on self-efficacy and psychological flexibility of patients undergoing radical mastectomy

目的探讨正念行为训练联合共情护理干预对乳腺癌根治术患者自我效能和心理弹性的影响。方法选取2020年1~6月滨州市结核病防治院乳腺癌根治术患者90例,根据随机数字表将患者分为观察组(n=45)及对照组(n=45),对照组行常规心理干预,观察组行正念行为训练联合共情护理,干预时间为6个月,比较两组干预前后自我效能、心理弹性、应对方式及生活质量水平。结果干预后观察组自我效能评分、心理弹性总评分、积极应对评分及生活质量总评分高于对照组(P<0.05),而干预后消极应对评分低于对照组(P<0.05)。结论正念行为训练联合共情护理可提高乳腺癌根治术患者自我效能及心理弹性,使患者能以积极的态度面对疾病,从而提高患者生活质量。

Objective To explore the effect of mindfulness behavior training combined with empathy nursing on self-efficacy and psychological resilience of patients undergoing radical mastectomy.Methods A total of 90 patients with radical mastectomy were enrolled from January to June 2020.The patients were divided into observation group(n=45)and control group(n=45)according to the random number table.The control group was received with routine psychological intervention.The observation group was performed with mindfulness behavior training combined with empathic nursing.The intervention time was 6 months.The self-efficacy,psychological flexibility,coping style and quality of life of two group before and after intervention were compared.Results Self-efficacy score after the intervention group,psychological elastic total score,positive response to score and total quality of life score were higher than those of the control group,and the differences were statistically significant(P<0.05).The score of negative coping after intervention was lower than that of control group,and the difference was statistically significant(P<0.05).Conclusions Mindfulness behavior training combined with empathy nursing can improve the self-efficacy and psychological flexibility of patients with radical mastectomy,so that patients can face the disease with a positive attitude,thus improving the quality of life of patients.