正念减压干预对化疗期卵巢癌患者恐惧疾病进展及正念水平影响的研究

The Effect of Mindfullness-based Stress Reduction on Fear of Progression and Mindfulness Level for Ovarian Cancer Patients Undergoing Chemotherapy

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.