基于“少阳为枢”理论运用正念冥想联合共情护理在乳腺癌化疗患者的应用研究

Application of mindfulness meditation combined with empathic nursing in breast cancer patients undergoing chemotherapy based on"Shaoyang as pivot"theory

目的:探究应用基于“少阳为枢”理论运用正念冥想联合共情护理对乳腺癌化疗的效果。方法:选取行2021年7月至2023年6月于本院接受乳腺癌化疗患者200例,按照随机数表法平均分为研究组(正念冥想干预)和对照组(正念冥想联合共情护理干预),比较两组患者的心理状态、治疗依从性、生活质量[乳腺癌化疗患者生存质量量表(QLICP-BR)]。结果:干预后相比于对照组,研究组患者无焦虑症状、轻度焦虑的比例升高,中度焦虑、重度焦虑的比例降低(U=-2.343);研究组无抑郁症状、轻度抑郁的比例升高,中度抑郁、重度抑郁的比例降低(U=-2.238);研究组完全依从的比例升高,不依从的比例降低(U=-2.983);研究组与对照组的QLICP-BR评分均高于干预前(t=30.590,21.580),研究组的QLICP-BR评分高于对照组(t=9.483);差异均有统计意义(P<0.05)。结论:基于“少阳为枢”理论运用正念冥想联合共情护理应用于乳腺癌化疗患者,可减轻焦虑、抑郁症状,并提高其治疗依从性及生存质量。

Objective:To explore the application effect of mindfulness meditation combined with empathy nursing on breast cancer chemotherapy patients based on the"Shaoyang as pivot"theory.Methods:Two hundred patients receiving chemothera-py for breast cancer in our hospital from July 2021 to June 2023 were randomly divided into the study group(mindfulness medi-tation intervention)and the control group(mindfulness meditation combined with empathy nursing intervention)according to the random number table method.The mental state,treatment compliance,and quality of life of the two groups were compared[(QLICP-BR for Patients with Breast cancer chemotherapy)].Results:After the intervention,compared with the control group,the proportion of mild anxiety in the study group was increased,and the proportion of moderate anxiety and severe anxi-ety was decreased(U=-2.343).In the study group,the proportion of mild depression without depressive symptoms in-creased,and the proportion of moderate depression and severe depression decreased(U=-2.238).The proportion of com-plete compliance increased,while the proportion of non-compliance decreased(U=-2.983).The QLICP-BR score of the study group and control group was higher than before the intervention(t=30.590,21.580),and the QLICP-BR score of the study group was higher than that of the control group(t=9.483).All differences were statistically significant(P<0.05).Conclusion:Based on the theory of"Shaoyang as the centre",the application of mindfulness meditation combined with empath-ic nursing in breast cancer chemotherapy patients can reduce anxiety and depression symptoms,and improve their treatment compliance and quality of life.