正念减压训练对癌症患者焦虑抑郁情绪的影响  

Effect of mindfulness-based stress reduction on anxiety and depression in cancer patients

作　　者：张宗城[1] 叶桦[1] 岑建宁[1] 张艳玲[1] 刘丽[1] 

机构地区：[1]广州医学院荔湾医院肿瘤科,广东广州510170

出　　处：《海南医学》2015年第8期1150-1152,共3页Hainan Medical Journal

基　　金：广州市荔湾区科技计划项目(编号:20141216056)

摘　　要：目的探讨正念减压训练对癌症患者焦虑抑郁情绪的影响。方法 264例癌症患者随机分为正念减压组和对照组,每组132例。对照组采用常规的护理方法进行护理,正念减压组在常规护理的基础上实施正念减压训练。分别于干预前和干预后4周应用焦虑自评量表(SAS)评价患者的焦虑程度,采用抑郁自评量表(SDS)评价患者的抑郁程度。结果两组患者干预前的SAS与SDS评分经比较差异均无统计学意义(P>0.05);正念减压组干预后SAS与SDS评分均显著低于干预前(P<0.05),而对照组干预前后则差异均无统计学意义(P>0.05);正念减压组患者干预后的SAS与SDS评分显著低于对照组,差异具有统计学意义(P<0.05)。结论肿瘤患者在常规护理基础上实施正念减压训练有助于缓解患者的焦虑抑郁情绪。Objective To explore the impact of mindfulness-based stress reduction upon anxiety and depression in cancer patients. Methods A total of 264 cancer patients were randomly divided into mindfulness-based stress reduction group and control group, with 132 cases in each group. Control group applied conventional methods of care for nursing, while mindfulness-based stress reduction group used mindfulness-based stress reduction on the basis of conventional care for nursing. Before and 4 weeks after intervention, Self-Rating Anxiety Scale （SAS） was used to evaluate the anxiety level of patients, and Self-Rating Depression Scale （SDS） was applied to evaluate the level of depression patients. Results Before intervention, SAS and SDS scores of the two groups showed no statistically significant difference （P〉0.05）. After intervention, SAS and SDS scores in mindfulness-based stress reduction group were significantly lower than those before intervention （P〈0.05）, but the scores in the control group showed no statistically significant difference with those before intervention （P〉0.05）. After intervention, the SAS and SDS scores of mindfulness-based stress reduction group were significantly lower than those of the control group, with statistically significant differences （P〈0.05）. Conclusion Mindfulness-based stress reduction on the basis of conventional care helps relieve anxiety and depression in cancer patients.

关 键 词：正念减压训练 癌症 焦虑 抑郁 

分 类 号：R749.72[医药卫生—神经病学与精神病学]