正念干预结合灵性照护在肿瘤终末期患者中的应用

Application of mindfulness intervention combined with spiritual care in patients with end-stage cancer

目的 正念干预结合灵性照护在肿瘤终末期患者中的应用分析。方法 将厦门市海沧医院2021年4月至2023年4月收治的40例终末期肿瘤患者以随机数表法分成两组,每组各20例。对照组给予常规治疗与护理指导,研究组在常规治疗与护理基础上行正念干预结合灵性照护。比较两组在干预前后各自不良情绪、自我护理能力、对待疾病的应对方式,并评价满意度。结果 干预后,研究组对疾病的负面情绪和消极应对方式得分低于对照组,自我护理能力、对疾病积极应对方式得分高于对照组,差异有统计学意义(P <0.05)。研究组总满意度高于对照组,差异有统计学意义(P <0.05)。结论 在肿瘤终末期患者中,正念干预与灵性照护相结合的应用可以显著减少患者的负面情绪,提高自我护理能力,将消极对待疾病方式转变为积极应对,满意度显著提高。

Objective To analyze the application of mindfulness intervention combined with spiritual care in patients with end-stage cancer.Methods A total of 40 patients with end-stage tumors admitted to Xiamen Haicang Hospital of April 2021 to April 2023 were divided into two groups by random number table method,with 20 cases each group.The control group received routine treatment and nursing guidance,while the study group received mindfulness intervention combined with spiritual care on the basis of routine treatment and nursing.The negative emotions,self-care abilities,and coping styles of two groups before and after intervention were compared,and the satisfaction was evaluated.Results After intervention,the study group had lower scores in negative emotions and coping styles towards the disease compared to the control group,and higher scores in self-care ability and positive coping styles towards the disease compared to the control group,and the difference was statistically significant(P<0.05).The overall satisfaction rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion In patients with end-stage cancer,the combination of mindfulness intervention and spiritual care can significantly reduce negative emotions,improve self-care ability,transform the negative coping styles towards the disease into positive ones,and significantly increase satisfaction.