摘要
目的 探讨正念减压干预(MBSR)对改善卵巢癌化疗患者恐惧疾病进展和正念水平的效果。方法将洛阳市某所三级综合医院妇科肿瘤病区的90例卵巢癌化疗患者分为干预组和对照组,每组45例。两组患者在接受常规护理的基础上,干预组同时接受6周正念减压练习,在干预前后采用恐惧疾病进展简化量表(FoP-QSF)、五因素正念觉知量表(FFMQ)进行评定。结果 干预后,干预组FoP总分及生理健康、社会家庭维度得分均低于对照组(P<0.05),FFMQ总分及觉察、描述、觉知行动、不判断、不反应五个维度的得分均高于对照组,差异有统计学意义(P<0.05)。结论 团体正念减压干预能够有效降低卵巢癌化疗患者的恐惧疾病进展水平,提高患者的正念水平。
Objective To explore Mindfullness-based Stress Reduction for improving the fear of progression of patients with ovarian cancer undergoing chemotherapy and the effect of mindfulness level.Methods Totally 90 patients with ovarian cancer undergoing chemotherapy were assigned into the intervention group and the control group with 45 cases in each group from a tertiary general hospital in Luoyang city.Both groups received routine care,and the intervention group also received 6 weeks of MBSR.The Fear of Progression Questionnaire-Short Form(FoP-Q-SF)and The Five Facet Mindfulness Questionnaire(FFMQ)were used to assess the fear of progression and Mindfulness level of two groups before the intervention and after the intervention.Results After 6 weeks of intervention,The total score of FoP,physiological health and social and family factors in the intervention group were lower than those in the control group,with statistically significant differences(P<0.05).The scores of FFMQ total score and five dimensions of observing,describing,acting with awareness,nonjudging of inner experience and nonreactivity to inner experience were all higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Mindfullness-based Stress Reduction can effectively reduce the level of fear of progression in patients with ovarian cancer undergoing chemotherapy and improve the level of mindfulness in patients.
作者
程远尊
康婷婷
尚锴
CHENG Yuanzun;KANG Tingting;SHANG Kai(Luoyang Polytechic,Luoyang,Henan 471000;Luoyang Central Hospital of Zhengzhou University,Luoyang,Henan 471000)
出处
《智慧健康》
2023年第7期220-225,共6页
Smart Healthcare
基金
2021年度河南省医学科技攻关计划联合共建项目《基于希望理论的癌症晚期心理症候群管理方案的构建及实证研究》(项目编号:LHGJ20210609)。
关键词
卵巢癌
正念减压
恐惧疾病进展
正念水平
Ovarian neoplasms
Mindfulness-based stress reduction
Fear of progression
Mindfulness level