正念减压疗法的护理干预对中重度癌痛患者心理与生活质量的影响

Effect of Nursing Intervention of Mindfulness-based Stress Reduction Therapy on Psychology and Quality of Life of Patients with Moderate and Severe Cancer Pain

目的:探讨正念减压疗法(MBSR)的护理干预对中重度癌痛患者心理与生活质量的影响。方法:选取2022年1—9月南通市通州区人民医院肿瘤科住院的中重度癌痛患者120例作为研究对象,按照随机数字表法分为对照组与试验组,各60例。对照组行常规护理干预,试验组在对照组基础上行MBSR。比较两组患者干预前后疼痛程度,生活质量,抑郁、焦虑情况。结果:干预后,试验组患者疼痛数字评分低于对照组,差异有统计学意义(P=0.034);干预后,试验组患者生活质量量表评分高于对照组,差异有统计学意义(P<0.001);干预后,试验组患者抑郁评分、焦虑评分低于干预前,且试验组低于对照组,差异有统计学意义(P<0.05)。结论:给予中重度癌痛患者基于MBSR的护理干预,不仅可以改善患者的抑郁、焦虑情绪,还能减轻患者的疼痛程度,改善其生活质量。

Objective:To explore the effect of mindfulness-based stress reduction therapy(MBSR)nursing intervention on the psychology and quality of life of patients with moderate and severe cancer pain.Methods:A total of one hundred and twenty patients with moderate to severe cancer pain hospitalized in the Department of Oncology of Tongzhou District People's Hospital from January to September 2022 were selected as the study objects,and were divided into control group and experimental group according to random number table method,with sixty cases in each group.The control group received routine nursing intervention,and the experimental group received MBSR based on the control group.The degree of pain,quality of life,depression and anxiety before and after intervention were compared between the two groups.Results:After intervention,the pain score of experimental group was lower than that of control group,and the difference was statistically significant(P=0.034).After intervention,the quality of life scale score of experimental group was higher than that of control group,and the difference was statistically significant(P<0.001).After intervention,the depression score and anxiety score of the experimental group were lower than before intervention,and the experimental group was lower than the control group,the difference was statistically significant(P<0.05).Conclusion:Mindfulness-based nursing intervention given to moderate and severe cancer pain patients can not only improve the depression and anxiety of patients,but also reduce the pain degree of patients and improve their quality of life.