以正念减压疗法为基础的护理干预在肺癌化疗患者中的应用效果

Application effect of nursing intervention based on mindfulness decompression therapy in lung cancer chemotherapy patients

目的探讨以正念减压疗法为基础的护理干预应用于肺癌化疗患者中的作用。方法选取2023年1月至2024年1月中国医学科学院肿瘤医院收治的104例肺癌患者作为研究对象,采用随机数字表法将其分为对照组(52例)和观察组(52例)。对照组采用常规护理,观察组在常规护理基础上行以正念减压疗法为基础的护理干预。护理时间均为6周。比较两组癌因性疲乏、心理状态以及自我效能水平。结果护理后,观察组Piper疲乏修订量表(RPFS)中情感疲乏、躯体感知疲乏、认知疲乏等维度评分均低于对照组,差异有统计学意义(P<0.05)。观察组护理后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组,差异有统计学意义(P<0.05)。观察组护理后中文版自我效能感量表(SUPPH)中自我减压、正性态度、自我决策评分均高于对照组,差异有统计学意义(P<0.05)。结论肺癌化疗患者经以正念减压疗法为基础的护理干预后,患者癌因性疲乏状态有所减轻,缓解其不良情绪,进一步提升患者自我效能水平。

Objective To explore the role of nursing interventions based on mindfulness decompression therapy in lung cancer chemotherapy patients.Methods A total of 104 patients with lung cancer admitted to Cancer Hospital,Chinese Academy of Medical Sciences from January 2023 to January 2024 were selected as the study objects,and they were divided into control group(52 cases)and observation group(52 cases)by random number table method.The control group received routine nursing,and the observation group received nursing intervention based on mindfulness decompression therapy on the basis of routine nursing.The cancer-related fatigue,psychological state,and self-efficacy levels of patients of the two groups were compared(P>0.05).Results After nursing,the scores of emotional fatigue,somatosensory fatigue,and cognitive fatigue in the revised Piper fatigue scale(RPFS)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of self stress reduction,positive attitude,and self decision-making in the strategies used by people to promote health(SUPPH)of the observation group were higher thean those of the control group,and the differences were statistically significant(P<0.05).Conclusion After nursing intervention based on mindfulness decompression therapy,cancer-related fatigue in lung cancer chemotherapy patients has been alleviated,their negative emotions have been alleviated,and their self-efficacy level has been further improved.