正念减压疗法联合五音特色护理对肠癌化疗后患者情绪、心理弹性及应对方式的影响

Effects of Mindfulness-based Stress Reduction Combined with Five-tone Characteristic Nursing on Emotion,Psychological Resilience and Coping Style of Patients with Colorectal Cancer after Chemotherapy

目的:探究正念减压疗法联合五音特色护理对肠癌化疗后患者情绪、心理弹性及应对方式的影响。方法:选择2021年8月—2022年11月蚌埠医科大学第一附属医院收治的126例肠癌化疗后患者,随机分为观察组、对照组,各63例。对照组接受常规护理干预,观察组在常规护理基础上给予五音特色护理联合正念减压疗法干预。比较两组护理前后的情绪、心理弹性及应对方式。结果:护理前,两组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、心理弹性量表(CD-RISC)、医学应对问卷(MCMQ)评分比较,差异均无统计学意义(P>0.05)。护理后,观察组HAMA、HAMD评分均显著低于对照组(P<0.05)。护理后,观察组CD-RISC各维度评分及总分均高于对照组(P<0.05)。护理后,观察组面对评分高于对照组,回避、屈服评分均低于对照组(P<0.05)。结论:应用正念减压疗法联合五音特色护理干预肠癌化疗后患者,能够有效改善患者的负面情绪,提升其心理弹性水平,促进其养成良好的应对方式。

Objective:To explore the effects of mindfulness-based stress reduction combined with fivetone characteristic nursing on emotions,psychological resilience and coping styles of patients with colorectal cancer after chemotherapy.Method:A total of 126 patients with colorectal cancer treated after chemotherapy in the First Affiliated Hospital of Bengbu Medical University from August 2021 to November 2022 were selected and randomly divided into observation group and control group,with 63 cases in each group.The control group received routine nursing intervention,and the observation group was given five-tone characteristic nursing combined with mindfulness-based stress reduction intervention on the basis of routine nursing.The emotional,psychological resilience and coping styles before and after nursing of the two groups were compared.Result:Before nursing,there were no statistical significances in the scores of Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD),Connor-Davidson resilience scale(CD-RISC)and medical coping modes questionnaire(MCMQ)between the two groups(P>0.05).After nursing,HAMA and HAMD scores in the observation group were significantly lower than those in the control group(P<0.05).After nursing,the scores and total scores of CD-RISC in observation group were higher than those in control group(P<0.05).After nursing,the face score of the observation group was higher than that of the control group,and the avoidance and yield score were lower than those of the control group(P<0.05).Conclusion:The application of mindfulness-based stress reduction combined with five-tone characteristic nursing intervention in patients with colorectal cancer after chemotherapy can effectively improve their negative emotions,enhance their psychological resilience,and promote their development of good coping styles.