正念减压联合音乐放松法对直肠癌永久性造口患者希望水平、心理痛苦程度、癌因性疲乏的影响

Effects of mindfulness decompression combined with music relaxation on hope level,psychological pain and cancer-related fatigue in patients with permanent stoma for rectal cancer

目的探究正念减压联合音乐放松法对直肠癌永久性造口患者希望水平、心理痛苦程度、癌因性疲乏的影响。方法2020年2月~2021年2月,抽取在本院住院治疗的90例直肠癌永久性造口患者为研究对象,基于入院时间早晚将患者分为对照组、观察组,两组住院期间均给予基础护理干预,观察组在此基础上联合正念减压、音乐放松法,对比两组结果。结果干预后观察组得分(采取积极行动为12.78±1.15分,与他人维持亲密关系为13.89±1.21分,对未来与现实的态度为12.76±1.34)分)显著高于对照组(采取积极行动为11.43±1.02分,与他人维持亲密关系为12.02±1.10分,对未来与现实的态度为10.54±1.21分)(P<0.05)。干预后观察组评分(汉密尔顿抑郁量表(HAMD)评分为7.74±0.86)分,汉密尔顿焦虑量表(HAMA)评分为7.02±0.79)分)显著低于对照组(HAMD评分11.23±0.98,HAMA评分10.89±0.92)(P<0.05)。干预后观察组无疲乏、轻度疲乏占22.22%和60.00%,明显高于对照组的6.67%和37.78%(P<0.05)。结论直肠癌永久性造口患者实施音乐放松法、正念减压法,可提升患者的希望水平,减轻患者的癌因性疲乏及心理痛苦程度。

Objective To explore the effects of mindfulness decompression combined with music relaxation on hope level,psychological pain and cancer-related fatigue in patients with permanent stoma for rectal cancer.Methods From February 2020 to February 2021,90 patients with permanent stoma of rectal cancer hospitalized in our hospital were selected as the research object.Based on the time of admission,the patients were divided into control group and observation group.Both groups were given basic nursing intervention during hospitalization.On this basis,the observation group received mindfulness decompression combined music relaxation.The effect of two groups were compared.Results After the intervention,the scores of the observation group(taking positive action(12.78±1.15)vs(11.43±1.02),maintaining close relationship with others(13.89±1.21)vs(12.02±1.10),and attitude towards the future and reality(12.76±1.34)vs(10.54±1.21)were significantly higher than those of the control group(P<0.05).After the intervention,the scores of the observation group(HAMD score(7.74±0.86)vs(11.23±0.98),HAMA score(7.02±0.79)vs(10.89±0.92))were significantly lower than those of the control group(P<0.05).After intervention,of non fatigue and mild fatigue in the observation group were 22.22%and 60.00%,which were more than those(6.67%and 37.78%)in the control group(P<0.05).Conclusion Music relaxation and mindfulness decompression can improve the level of hope and reduce the degree of cancer-related fatigue and psychological pain in patients with permanent stoma for rectal cancer.