基于正念认知疗法的心理护理在乳腺癌化疗患者中的应用及对其心理状态和生存质量的影响

Application of Mental Nursing Based on Mindfulness and Cognitive Therapy in Breast Cancer Patients with Chemotherapy and Its Influence on Mental State and Quality of Life

目的将基于正念认知疗法的心理护理应用于乳腺癌化疗患者中,旨在探究该护理模式对其心理状态和生存质量的影响。方法研究时间为2021年5月至2023年5月,在解放军陆军第七十三集团军医院共选出190例乳腺癌化疗患者,按抽签法分为两组,每组95例,分别以对照组、观察组命名。观察组接受常规化疗护理联合基于正念认知疗法的心理护理,对照组仅接受常规化疗护理。比较两组患者的心理状态、生存质量。结果两组护理前患者疾病不确定感量表(MUIS-A)中文版评分(t=0.403)、自我感受负担量表(SPBS)评分(t=0.530)、自我接纳问卷(SAQ)评分(t=0.292)对比,差异无统计学意义(P>0.05);观察组护理后,其MUIS-A中文版评分(t=3.242)、SPBS评分(t=3.301)均低于对照组,差异有统计学意义(P<0.05);观察组护理后,其SAQ评分(t=3.322)高于对照组,差异有统计学意义(P<0.05)。两组护理前患者乳腺癌患者生存质量测定量表(FACT-B)评分(t=0.075)对比,差异无统计学意义(P>0.05);观察组护理后,其FACT-B评分(t=3.311)高于对照组,差异有统计学意义(P<0.05)。结论对乳腺癌化疗患者实施基于正念认知疗法的心理护理可以调节其心理状态,改善其生存质量。

Objective Psychological nursing based on mindfulness-based cognitive therapy was applied to breast cancer chemotherapy patients in order to explore the effects of this nursing mode on their mental state and quality of life.Methods The study period was from May 2021 to May 2023.A total of 190 breast cancer patients undergoing chemotherapy in The 73rd Group Army Hospital of the PLA Army were selected and divided into two groups according to the lottery method,with 95 cases in each group,named after the control group and the observation group,respectively.Observation group received conventional nursing combined chemotherapy based on mindfulness psychological nursing of cognitive therapy,the control group only accepted conventional nursing of chemotherapy.The psychological status and quality of life of the two groups were compared.Results Before nursing,there were no statistically significant differences in the scores of Chinese version of MUIS-A(t=0.403),SPBS(t=0.530)and SAQ(t=0.292)between the two groups(P>0.05).Observation group after nursing,the MUIS-A Chinese score(t=3.242),SPBS score(t=3.301)are lower than the control group,the difference was statistically significant(P<0.05).Observation group after nursing,the SAQ scores higher than the control group(t=3.322),the difference was statistically significant(P<0.05).Two groups before treatment patients determination of breast cancer patients quality of life scale(FACT-B)score(t=0.075)in contrast,there was no statistically significant difference(P>0.05).Observation group after nursing,the FACT-B score higher than the control group(t=3.311),the difference was statistically significant(P<0.05).Conclusions Practice mindfulness based on cognitive therapy for breast cancer patients undergoing chemotherapy of psychological nursing can adjust their psychological state,to improve their quality of life.