正念减压法对鼻咽癌放疗期患者疼痛、焦虑情绪及睡眠质量的影响效果研究

Effect of Mindfulness Decompression on Pain,Anxiety and Sleep Quality of Patients with Nasopharyngeal Carcinoma during Radiotherapy

目的:探究正念减压法对鼻咽癌放疗期患者疼痛、焦虑情绪以及睡眠质量的影响。方法:选取2020年1月至2022年4月于福建医科大学附属第一医院收治的鼻咽癌患者90例作为研究对象,按照随机数字表法随机分为观察组和对照组,每组45例。对照组接受常规护理,观察组在对照组基础上加用正念减压法,比较分析2组患者干预前后疼痛度、焦虑情绪以及睡眠质量的变化。结果:护理7 d、15 d以及30 d时,观察组患者的VAS评分均低于对照组(P<0.05);护理30 d后,观察组患者的SAS评分低于对照组(P<0.05);护理后,观察组患者的PSQI量表各维度及总分均明显低于对照组(P<0.05);护理30 d后,观察组患者的CPSS评分低于对照组(P<0.05)。结论:对鼻咽癌行放疗患者开展正念减压干预有助于降低其疼痛度,改善其焦虑状态,提高其睡眠质量,同时还有助于缓解其压力水平,为后续治疗奠定良好基础,值得临床推广应用。

Objective:To explore the effect of mindfulness decompression on pain,anxiety and sleep quality of patients with nasopharyngeal carcinoma during radiotherapy.Methods:A total of 90 patients with nasopharyngeal carcinoma who were treated in First affiliated hospital of Fujian medical university radiation Fujian from January 2020 to April 2022 were selected as the research objects.According to the random number table method,they were randomly divided into an observation group and a control group,with 45 cases in each group.The control group received routine nursing,and the observation group received mindfulness-based decompression method on the basis of control group.The changes of pain,anxiety and sleep quality before and after the intervention were compared between the two groups.Results:The VAS scores of patients in the observation group were lower than those in the control group at 7 d,15 d and 30 d of nursing(P<0.05);The SAS score of the patients in the observation group was lower than that in the control group after 30 days of nursing(P<0.05);All dimensions and total scores of PSQI scale in the observation group were significantly lower than those in the control group after nursing(P<0.05);After 30 days of nursing,the CPSS score of patients in the observation group was lower than that of the control group(P<0.05).Conclusion:Mindfulness decompression intervention for patients with nasopharyngeal carcinoma undergoing radiotherapy can help to reduce the pain degree,improve the anxiety state of patients,improve their sleep quality,and also help to relieve their stress level,laying a good foundation for follow-up treatment.It is recommended to promote the application.