支持性心理干预联合正念减压疗法对肺癌化疗患者的影响

Effect of Supportive Psychological Intervention Combined with Mindfulness-based Stress Reduction on Lung Cancer Patients Undergoing Chemotherapy

目的:探讨支持性心理干预联合正念减压疗法对肺癌化疗患者的影响。方法:筛选2022年1月1日~12月31日明确诊断为肺癌且接受化疗的110例患者,采用随机数字表法分为对照组和观察组各55例,对照组接受常规护理,观察组接受支持性心理干预联合正念减压疗法;比较两组干预前后应对方式[采用特质应对方式问卷(TCSQ)]、癌因性疲乏[采用Piper疲乏修正量表(PFS-R)]及肺功能指标[包括第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、FEV_(1)/FVC]。结果:干预后,两组TCSQ评分均高于干预前(P<0.05),且观察组高于对照组(P<0.01);干预后,两组PFS-R中躯体感知缺乏、情感疲乏、认知疲乏、行为疲乏评分均低于干预前(P<0.05),且观察组低于对照组(P<0.01);干预后,两组FVC、FEV_(1)、FEV_(1)/FVC均高于干预前(P<0.05),且观察组高于对照组(P<0.05,P<0.01)。结论:针对开展化疗的肺癌患者实施支持性心理干预联合正念减压疗法,能够改善其癌因性疲乏状态和肺功能,促使患者采取积极应对方式。

Objective:To explore the effect of supportive psychological intervention combined with mindfulness-based stress reduction on lung cancer patients undergoing chemotherapy.Methods:110 patients who were diagnosed with lung cancer and received chemotherapy from January 1 to December 31,2022 were selected and divided into the control group and the observation group by the random number table method,with 55 cases in each group.The routine nursing care was taken in the control group,and the supportive psychological intervention combined with mindfulness-based stress reduction was adopted in the observation group.The coping style(TCSQ),cancer-related fatigue(PFS-R)and lung function indexes by forced expiratory volume in the first second(FEV_(1)),forced vital capacity(FVC)and FEV_(1)/FVC were compared between the two groups before and after intervention.Results:After intervention,the TCSQ scores of the two groups were higher than those before intervention(P<0.05),and the TCSQ scores of the observation group were higher than the control group(P<0.01).The scores of physical perception fatigue,emotional fatigue,cognitive fatigue and behavioral fatigue in PFS-R of the two groups were lower after intervention than those before intervention(P<0.05),and those of the observation group were lower than those in the control group(P<0.01).After intervention,FVC,FEV_(1) and FEV_(1)/FVC of the two groups were better than those before intervention(P<0.05),and those of the observation group were better than those of the control group(P<0.05,P<0.01).Conclusion:The supportive psychological intervention combined with mindfulness-based stress reduction for lung cancer patients undergoing chemotherapy can improve their cancer-related fatigue and lung function,and promote patients to adopt a positive coping style.