正念减压疗法对肝癌患者经肝动脉化疗栓塞术后心理弹性及创伤后成长水平的影响

Effects of mindfulness-based stress reduction on mental resilience and post-traumatic growth of liver cancer patients after transcatheter artery chemoembolization

目的探讨正念减压疗法对肝癌患者经肝动脉化疗栓塞术(transcatheter arterial chemoembolization,TACE)后心理弹性及创伤后成长水平的影响。方法选取2020年5月-2022年5月笔者所在医院收治的90例肝癌行TACE的患者作为研究对象。采用随机数字表法将其分为对照组和观察组,各45例。对照组给予常规护理干预,观察组在对照组基础上给予正念减压干预,干预前及干预6周后,采用心理弹性量表(Connor-Davidson resilience scale,CD-RISC)、创伤后成长量表(posttraumatic growth inventory,PTGI)对2组患者进行评价。结果干预后,观察组CD-RISC、PTGI评分均高于对照组(t=-4.574,P<0.001;t=-4.424,P<0.001)。结论正念减压疗法可有效改善肝癌患者经肝动脉化疗栓塞术后心理弹性水平,促进其创伤后成长。

Objective To explore the effect of mindfulness-based stress reduction on mental resilience and post-traumatic growth of liver cancer patients after transcatheter artery chemoembolization(TACE).Methods Ninety liver cancer patients undergoing TACE between May 2020 and May 2022 were selected,and divided into a control group and an observation group,each of 45,according to a random number table.Both groups were given routine nursing,while the observation group was additionally provided with mindfulness-based stress reduction for six weeks.Before and after 6-week intervention,both groups were evaluated using the Connor-Davidson resilience scale(CD-RISC)and the posttraumatic growth inventory(PTGI).Results After 6-week intervention,the scores of CD-RISC and PTGI of the observation group were significantly higher than that of the control group(t=-4.574,P<0.001;t=-4.424,P<0.001).Conclusion Mindfulness-based stress reduction can effectively improve the psychological resilience of liver cancer patients after transcatheter artery chemoembolization and promote their post-traumatic growth.