正念行为训练配合人文关怀对肺癌放疗患者负性情绪、癌因性疲乏及睡眠质量的影响

The Effect of Mindfulness Training Combined with Humanistic Care on Negative Emotions,Cancer-related Fatigue,and Sleep Quality in Lung Cancer Radiotherapy Patients under Radiotherapy

目的:分析正念行为训练联合人文关怀在肺癌放疗患者中的应用效果。方法:选取2022年4月至2023年10月泉州市第一医院行放疗的肺癌患者64例作为研究对象,按照随机数字表法随机分为观察组与对照组,每组32例。对照组放疗期间接受常规干预,观察组同步开展正念行为训练,并给予人为关怀支持。比较2组干预后负性情绪、癌因性疲乏(CRF)与睡眠质量。结果:观察组在8周后汉密尔顿抑郁量表(HAMD)与汉密尔顿焦虑量表(HAMA)评分显著低于对照组(P<0.05),Piper疲乏量表(PFS)各维度评分及总分较低(P<0.05),匹兹堡睡眠质量指数(PSQI)也显著较低(P<0.05)。结论:正念行为训练联合人文关怀可改善肺癌放疗患者情绪状态、CRF与睡眠质量。

Objective:To know the effect of mindfulness training combined with humanistic care in lung cancer patients under radiotherapy.Methods:A total of 64 lung cancer patients who underwent radiotherapy were selected and randomly divided into a study group and a control group,with 32 cases.The control group received routine intervention during radiotherapy,while the observation group received mindfulness training and humanistic care simultaneously.Negative emotions,cancer-related fatigue(CRF),and sleep quality between the two groups after intervention were compared.Results:After eight weeks,the study group had significantly lower scores on the Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)compared to the control group(P<0.05),all dimensions and total scores of Piper Fatigue Scale(PFS)were lower(P<0.05),and the Pittsburgh Sleep Quality Index(PSQI)was also significantly lower(P<0.05).Conclusion:Under radiotherapy,mindfulness training combined with humanistic care can improve negative emotional state,CRF,and sleep quality in lung cancer patients.