正念癌症康复训练对乳腺癌化疗患者癌因疲乏及生存质量的影响

Effects of Mindfulness Cancer Rehabilitation Training on Cancer-Related Fatigue and Survival Quality in Breast Cancer Patients Undergoing Chemotherapy

目的观察正念癌症康复训练对乳腺癌化疗患者癌因疲乏及生存质量的影响。方法选择2020年1月—2023年12月于该院行化疗干预的95例乳腺癌患者为研究对象,以随机数字表法将其分为对照组(n=48)与研究组(n=47),对照组采用乳腺癌化疗常规模式护理,研究组在对照组基础上加用正念癌症康复训练干预。比较两组患者的癌因性疲乏、压力感知、睡眠质量及生活质量。结果护理前,两组癌因性疲乏、压力感知、睡眠质量及生活质量比较,组间差异无统计学意义(P>0.05)。护理后,研究组Piper疲乏修订量表各个维度评分均低于对照组,乳腺癌生存质量测定量表各个维度评分均高于对照组,组间差异有统计学意义(P<0.05);观察组压力感知量表评分为(12.09±1.32)分,低于对照组的(17.06±1.51)分,匹兹堡睡眠质量指数量表评分为(6.32±0.98)分,低于对照组的(10.08±0.74)分,组间差异有统计学意义(P<0.05)。结论将正念癌症康复训练干预机制应用于乳腺癌化疗护理中,可降低患者癌因性疲乏与压力感,提高睡眠质量及生活质量。

Objective To observe the effects of mindfulness cancer rehabilitation training on cancer-related fatigue and survival quality of breast cancer chemotherapy patients.Methods A total of 95 patients with breast cancer who received chemotherapy intervention in this hospital from January 2020 to December 2023 were selected as the study objects,and were divided into the control group(n=48)and the study group(n=47)by random number table method.The control group received routine nursing mode of breast cancer chemotherapy,and the study group received mindfulness cancer rehabilitation training intervention on the basis of the control group.The cancer-related fatigue,stress perception,sleep quality and quality of life were compared between the two groups.Results Before nursing,there were no significant differences in cancer-related fatigue,stress perception,sleep quality and quality of life between the two groups(P>0.05).After nursing,the scores of Piper fatigue scale-reversion in all dimensions were lower than those of the control group,and the scores of breast functional assessment of cancer therapy-breast in all dimensions were higher than those of the control group,the differences between the groups were statistical significant(P<0.05);the score of the perceived stress scale in the observation group was(12.09±1.32)points,lower than(17.06±1.51)points in the control group,and the score of the Pittsburgh sleep quality index scale was(6.32±0.98)points,lower than(10.08±0.74)points in the control group,the differences between the groups were statistical significant(P<0.05).Conclusion The application of mindfulness cancer rehabilitation training intervention in breast cancer chemotherapy nursing can reduce cancer-related fatigue and stress,and improve sleep quality and quality of life.