正念减压训练联合渐进式肌肉放松训练对胃癌化疗患者心理健康及睡眠质量的影响

Effect of mindfulness decompression training combined with progressive muscle relaxation training on mental health and sleep quality of patients with chemotherapy for gastric cancer

目的探究正念减压训练联合渐进式肌肉放松训练应用于胃癌化疗患者中的效果,探究其对患者心理健康及睡眠质量的影响。方法90例胃癌化疗患者,采用随机数字表法分为对照组和观察组,每组45例。对照组采取常规护理,观察组在对照组基础上采取正念减压训练联合渐进式肌肉放松训练。比较两组患者干预前后心理健康、睡眠质量、生活质量、自我护理能力。结果干预后,观察组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分分别为(46.39±4.21)、(47.30±5.32)分,均低于对照组的(51.20±4.24)、(52.45±4.30)分,差异具有统计学意义(P<0.05)。干预后,观察组患者匹斯堡睡眠质量指数(PSQI)评分为(10.29±4.30)分,低于对照组的(14.30±4.24)分,差异具有统计学意义(P<0.05)。干预后,两组患者心理健康、躯体健康评分及生活质量总分均高于本组干预前,且观察组患者心理健康评分(60.23±4.33)分、躯体健康评分(96.43±4.23)分、生活质量总分(158.53±8.57)分高于对照组的(56.45±4.34)、(89.41±4.35)、(154.46±8.51)分,差异具有统计学意义(P<0.05)。干预后,观察组患者健康认知、责任感、自护技能、自我概念评分均高于本组干预前,且观察组患者健康认知评分(46.59±2.33)分、责任感评分(24.39±1.34)分、自护技能评分(28.43±3.49)分、自我概念评分(26.40±2.23)分高于对照组的(41.29±3.11)、(20.39±1.45)、(24.30±3.21)、(22.12±2.35)分,差异具有统计学意义(P<0.05)。结论对胃癌化疗患者采取正念减压训练联合渐进式肌肉放松训练干预能够改善患者的心理健康,并提高睡眠质量、生活质量、自我护理能力,具有一定的临床借鉴价值。

Objective To investigate the effect of mindfulness decompression training combined with progressive muscle relaxation training for patients with chemotherapy for gastric cancer,and its influence on mental health and sleep quality of patients.Methods A total of 90 patients with chemotherapy for gastric cancer were divided into control group and observation group according to the random numerical table,45 cases in each group.The control group received routine nursing,and the observation group received mindfulness decompression training and progressive muscle relaxation training on the basis of the control group.The mental health,sleep quality,quality of life and self-care ability of the two groups were compared before and after intervention.Results After intervention,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were(46.39±4.21)and(47.30±5.32)points in the observation group,which were lower than those of(51.20±4.24)and(52.45±4.30)points in the control group,and the differences were statistically significant(P<0.05).After intervention,the PSQI score of the observation group was(10.29±4.30)points,which was lower than that of(14.30±4.24)points of the control group,and the difference was statistically significant(P<0.05).After intervention,the scores of mental health,physical health and total quality of life score in both groups were higher than those before intervention in this group;in the observation group,the mental health score was(60.23±4.33)points,the physical health score was(96.43±4.23)points and the total quality of life score was(158.53±8.57)points,which were higher than those of(56.45±4.34),(89.41±4.35)and(154.46±8.51)points in the control group;the differences were statistically significant(P<0.05).After intervention,the scores of health cognition,responsibility,self-care skills and self-concept in both group were higher than those before intervention in this group;in the observation group,the health cognition score was(46.59±2.33)points,the responsibility score was(24.39±1.34)points,the self-care skill score was(28.43±3.49)points and the self-concept score was(26.40±2.23)points,which were higher than those of(41.29±3.11),(20.39±1.45),(24.30±3.21)and(22.12±2.35)points in the control group;the differences were statistically significant(P<0.05).Conclusion Mindfulness decompression training combined with progressive muscle relaxation training can improve their mental health,sleep quality,quality of life and self-care ability,which has certain clinical reference value.