叙事护理结合正念减压训练对乳腺癌化疗患者癌因性疲乏及睡眠质量的影响

Effects of Narrative Nursing Combined with Mindfulness-based Stress Reduction Training on Cancer-induced Fatigue and Sleep Quality in Breast Cancer Patients Undergoing Chemotherapy

目的:叙事护理结合正念减压训练对乳腺癌化疗患者癌因性疲乏及睡眠质量的影响。方法:选取2019年2月至2022年6月莆田市第一医院诊治的乳腺癌化疗患者66例作为研究对象,按照不同护理方式分为对照组和观察组,每组33例。对照组实施常规护理,观察组在对照组基础上实施叙事护理结合正念减压训练。比较2组癌因性疲乏(CRF),采用Piper疲乏量表(Piper Fatigue Score,PFS)评分,睡眠质量采用匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)评分,负性情绪采用焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)评分。结果:观察组SAS(42.36±1.95)分、SDS(31.65±1.13)分、情感疲乏(1.07±0.13)分、行为疲乏(1.11±0.23)分、认知疲乏(1.13±0.21)分、躯体感知疲乏(1.03±0.14)分、睡眠质量(0.38±0.07)分、日间功能(0.31±0.05)分、催眠药物(0.21±0.06)分、入睡时间(0.25±0.04)分、睡眠障碍(0.13±0.05)分、睡眠效率(0.34±0.11)分、睡眠时间(0.74±0.14)分、总分(5.15±0.24)分均低于对照组,差异有统计学意义(P<0.05)。结论:叙事护理结合正念减压训练应用于乳腺癌化疗患者,可有效减轻CRF,提高睡眠质量及生命质量。

Objective:To explore the effects of narrative nursing combined with mindfulness-based stress reduction training on cancer-induced fatigue and sleep quality in patients with breast cancer chemotherapy.Methods:A total of 66 patients with breast cancer treated by Putian First Hospital from February 2019 to June 2022 were selected as the study subjects,and were divided into control group and observation group according to different nursing methods,with 33 cases in each group.The control group received routine nursing care,while the observation group received narrative nursing combined with mindfulness decompression training on the basis of the control group.Compare two groups of cancer related fatigue(CRF)using the Piper Fatigue Score(PFS),Pittsburgh Sleep Quality Index(PSQI)for sleep quality,and Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)for negative emotions.Results:SAS of the observation group was(42.36±1.95)points,SDS was(31.65±1.13)points,emotional fatigue was(1.07±0.13)points,behavioral fatigue was(1.11±0.23)points,cognitive fatigue was(1.13±0.21)points,somatosensory fatigue was(1.03±0.14)points,sleep quality was(0.38±0.07)points,daytime function was(0.31±0.05)points,hypnotics was(0.21±0.06)points,time to sleep was(0.25±0.04)points.The score of sleep disorders was(0.13±0.05)points,sleep efficiency was(0.34±0.11)points,sleep duration was(0.74±0.14)points,and total score was(5.15±0.24)points,which were lower than those of the control group,with statistically significant differences(P<0.05).Conclusion:Narrative nursing combined with mindfulness-based stress reduction training can effectively reduce CRF and improve sleep quality and quality of life in patients with breast cancer chemotherapy.