正念行为训练对食管癌根治术后患者负性情绪及应对方式的影响  

The influence of mindfulness behavior training on negative emotion and coping style in patients after radical esophagecomy

作　　者：关馨瑶[1] 邹擎[2] 朴大勋[1] 张春荣[3] 

机构地区：[1]哈尔滨医科大学附属第一医院结直肠外科,哈尔滨1500010 [2]哈尔滨医科大学附属第一医院病房,哈尔滨1500010 [3]哈尔滨医科大学附属第一医院胸外科,哈尔滨1500010

出　　处：《癌症进展》2017年第11期1357-1360,共4页Oncology Progress

摘　　要：目的探讨正念行为训练对食管癌根治术后患者负性情绪及应对方式的影响。方法选取64例食管癌根治术后患者为研究对象,按入院的先后顺序将其随机分为干预组和对照组,每组32例。两组均进行常规护理,干预组在此基础上实施正念行为训练,干预时间为7周。于干预前、干预后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)及医学应对方式问卷(MCMQ)评估两组患者的焦虑与抑郁症状及应对方式。结果干预后,干预组患者的SAS和SDS得分均低于对照组,差异有统计学意义(P﹤0.05);且干预组患者的MCMQ各维度得分均优于对照组,差异均有统计学意义(P﹤0.05)。结论正念行为训练可有效缓解食管癌根治术后患者的焦虑与抑郁症状,提高其医学应对方式。Objective To explore the effect of mindfulness behavior training on negative emotions and coping style in patients after radical esophagecomy. Method A total of 64 patients after radical esophagecomy were randomized as intervention group and control group, with 32 cases in each. Both groups received routine nursing, while the intervention group was additionally administered with mindfulness behavior training for 7 weeks. The patients were measured with self-rating anxiety scale（SAS）, self-rating depression scale（SDS）, and medical coping modes questionnaire（MCMQ） before and after intervention to assess anxiety status, depression status and coping styles. Result After intervention, the score of SAS and SDS in the intervention group were lower than the control group, the differences were statistically significant（P〈0.05）; and each dimension score of MCMQ in the intervention group was better than that in the control group,with statistically significant differences observed（P〈0.05）. Conclusion Mindfulness behavior training can effectively reduce the anxiety and depression in patients after radical esophagecomy, and improve the coping style.

关 键 词：正念训练 食管癌 焦虑 抑郁 应对方式 

分 类 号：R735.1[医药卫生—肿瘤]