正念行为训练在乳腺癌术后患者中的应用效果

Application effects of mindfulness behavior training in postoperative patients with breast cancer

目的:观察正念行为训练在乳腺癌术后患者中的应用效果。方法:回顾性分析2020年7月至2021年7月该院收治的104例乳腺癌患者的临床资料,所有患者均行乳房全切根治术治疗,根据术后护理方法不同将其分为对照组(n=52)和观察组(n=52)。对照组实施常规护理,观察组在对照组基础上实施正念行为训练,比较两组护理前后焦虑[焦虑自评量表(SAS)]评分、生命质量[健康调查简表(SF-36)]评分,以及护理满意度。结果:护理后,两组SAS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理后,两组躯体疼痛、精力、情感职能和精神健康等SF-36评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为94.23%(49/52),高于对照组的80.77%(42/52),差异有统计学意义(P<0.05)。结论:在常规护理基础上实施正念行为训练可提高乳腺癌术后患者生命质量和护理满意度,降低焦虑评分,效果优于单纯常规护理。

Objective:To observe application effects of mindfulness behavior training in postoperative patients with breast cancer.Methods:The clinical data of 104 patients with breast cancer admitted to this hospital from July 2020 to July 2021 were retrospectively analyzed.All patients were treated with total mastectomy.According to different postoperative nursing methods,they were divided into control group(n=52) and observation group(n=52).The control group received routine nursing,while the observation group received the mindfulness behavior training on the basis of that of the control group.The anxiety [self-rating anxiety scale(SAS)] score,the quality of life [the MOS 36-item short form health survey(SF-36)] score before and after the nursing,and the nursing satisfaction were compared between the two groups.Results:After the nursing,the SAS scores of the two groups were lower than those before the nursing,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).After the nursing,the SF-36 scores of physical pain,vitality,emotional function and mental health in the two groups were higher than those before the nursing,those in in the observation group higher higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 94.23%(49/52),which was higher than 80.77%(42/52) of the control group,and the difference was statistically significant(P<0.05).Conclusions:The mindfulness behavior training on the basis of the routine nursing can improve the quality of life and the nursing satisfaction of the postoperative patients with breast cancer,and reduce the anxiety scores.Moreover,it is superior to simple routine nursing.