心智觉知模式对妇科恶性肿瘤患者负性情绪的影响  

Influence of mindfulness on anxiety and depression of gynecological oncology patients

作　　者：李秀青[1] 卢晓声[1] 陈小芳[2] 

机构地区：[1]温州医科大学附属第二医院妇科,浙江省温州325000 [2]温州医科大学附属第二医院耳鼻咽喉科,浙江省温州325000

出　　处：《中国基层医药》2016年第5期649-652,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：基金项目：浙江省温州市科技计划项目（Y20130191）

摘　　要：目的探讨心智觉知模式对妇科恶性肿瘤患者负性情绪的影响。方法采用目的抽样法选取80例妇科恶性肿瘤患者，将其按照随机数字表法分为对照组和心智觉知干预组各40例，对照组进行常规护理，心智觉知干预组在此基础上进行8周的心智觉知训练。应用焦虑自评量表（Self-ratingAnxietyScale，SAS）和抑郁自评量表（Self-ratingDepressionScale，SDS）在干预前（T1）、干预中（干预第4周，T2）和干预后（干预第8周，T3）比较患者的焦虑抑郁水平。结果干预组有3例未能坚持完成干预而脱落，共77例进行数据分析。重复测量方差分析结果显示，组间因素中SAS（F=4．614，P=0．035）及SDS（F=4．070，P=0．044）得分差异有统计学意义；组内因素中SAS（F=15．115，P〈0．001）及SDS（F=7．034，P=0．002）得分存在交互作用，差异有统计学意义。结论心智觉知模式可以有效改善妇科恶性肿瘤患者的心理状态，降低其焦虑抑郁情绪。Objective To investigate the effect of mindfulness on anxiety and depression of gynecological oncology patients. Methods Using objective methods, 80 patients with gynecological ontology were divided to the usual care group and mindfulness training group according to random number table ,40 cases in each group. The self - rated anxiety scale and self - rated depression scale were used to compare the effects at three times. Results There were 3 patients lost and 77 patients were analyzed finally. The ANOVA showed that there were significant differences on anxiety and depression scores of SAS （F =4.614 ,P =0.035） and SDS （F =4.070,P =0.044） between the two groups, and the scores of SAS （F = 15.115,P 〈 0. 001 ） and SDS （ F = 7. 034, P = 0. 002） had interaction effects. Conclusion Mindfulness can adjust the psychology state of gynecological oneology patients and decreased the level of anxiety and depression.

关 键 词：肿瘤 焦虑 抑郁 认知 

分 类 号：R473.73[医药卫生—护理学]