分析正念减压法对肺癌患者负性情绪、癌因性疲乏及睡眠质量的影响

To Analyze the Effects of Mindfulness-based Stress Reduction on Negative Emotions,Cancer-induced Fatigue and Sleep Quality in Patients with Lung Cancer

目的:分析正念减压法对肺癌患者负性情绪、癌因性疲乏及睡眠质量的影响;方法:选取2020年8月至2022年9月福建中医药大学附属人民医院胸心外科收治的肺癌患者80例作为研究对象,按照随机数字表法分为观察组和对照组,每组40例。对照组给予常规护理干预,观察组给予联合正念减压法干预,采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较2组患者焦虑、抑郁症状改善情况,采用健康调查简表(SF-36)比较2组患者干预前后的生命质量变化,癌因性疲乏量表(CRF)比较2组患者干预前后疲乏感。结果:护理后,观察组SAS评分、SDS评分、PSQI评分、CRF评分均显著低于对照组,观察组SF-36评分显著高于对照组,差异均有统计学意义(均P<0.05)。结论:对肺癌患者开展正念减压法有助于改善患者的焦虑、抑郁等负性情绪,提高患者睡眠质量及生命质量,同时降低患者癌因性疲乏症状,具有一定的推广应用价值。

Objective:To analyze the effects of mindfulness-based stress reduction on negative emotions,cancer-related fatigue and Sleep Quality In patients with lung cancer.Methods:A total of 80 patients with lung cancer admitted to the Department of Thoracic and Cardiac Surgery of the Affiliated People′s Hospital in Fujian University of Chinese Medicine from August 2020 to September 2022 were selected as the research objects,and were divided into observation group and control group according to the random number table method,with 40 cases in each group.The control group was given routine nursing intervention,and the observation group was given combined mindfulness-based stress reduction intervention.Pittsburgh Sleep Quality Index(PSQI)scale was used to compare the differences of sleep quality between 2 groups.Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to compare the improvement of anxiety and depression symptoms between 2 groups.The MOS Item Short From Health Survey(SF-36)was used to compare the changes of the quality of life before and after the intervention,Cancer-related Fatigue(CRF)scale before and after intervention was compared as well.Results:After nursing,SAS score,SDS score,PSQI score and CRF score of the observation group were significantly lower than those of the control group,and SF-36 score of the observation group was significantly higher than the control group,the difference between the two groups was statistically significant(P s<0.05).Conclusion:Mindfulness-based stress reduction for patients with lung cancer can help to improve patient′s anxiety,depression and other negative emotions,improve patient′s sleep quality and the quality of life,reduce cancer-related fatigue symptoms,which has certain promotion and application value.