基于正念减压的护理干预对肺癌患者癌因性疲乏的影响  

Influence of nursing intervention basing on mindfulness-based stress reduction on cancer-related fatigue in lung cancer patients

作　　者：王苹 黄鹏飞 张淑彦[1] 张爽[1] 孙立文 

机构地区：[1]哈尔滨医科大学附属肿瘤医院胸外科肺部二病区,哈尔滨150083

出　　处：《中华现代护理杂志》2017年第35期4478-4481,共4页Chinese Journal of Modern Nursing

摘　　要：目的 探讨基于正念减压疗法的护理干预对肺癌患者癌因性疲乏的干预效果.方法 采用方便抽样法,选择2015年5月— 2016 年5月在某三甲肿瘤医院胸外科接受手术治疗和化疗的肺癌患者为研究对象.根据入组的时间先后,将其分为观察组和对照组,每组各36例.两组患者住院期间均接受胸外科常规住院护理及健康宣教,观察组在此基础上实施以正念减压疗法为基础的护理干预.比较两组干预前后癌因性疲乏得分情况.结果 观察组最终有效样本33例,对照组34例.干预前两组患者癌因性疲乏量表各维度得分差异无统计学意义（P〉0.05）,干预后,观察组癌因性疲乏量表各维度得分低于对照组,差异有统计学意义（P〈0.05）.结论 基于正念减压疗法的护理干预能有效降低肺癌患者癌因性疲乏,提高患者的生活质量.Objective To explore the influence of nursing intervention basing on mindfulness-based stress reduction on cancer-related fatigue in lung cancer patients. Methods By convenience sampling, patients with lung cancer who were treated with surgery and chemotherapy in the Department of Thoracic Surgery in a class Ⅲ grade A tumor hospital from May 2015 to May 2016 were selected, and were divided, according to their time of admission into observation group and control group, each with 36 cases. During their stay in the hospital, patients in both groups received routine nursing care and health education in Department of Thoracic Surgery, besides which, patients in the observation group received nursing intervention basing on mindfulness-based stress reduction. Before and after intervention, the cancer-related fatigue scores of the two groups were compared. Results There were 33 valid samples in the observation group, and 34 in the control group. Before the intervention, scores in revised piper fatigue scale and its dimensions the patients got in the two groups showed no statistical difference （P〉0.05）; while after the intervention, scores in dimensions of revised piper fatigue scale patients got in the observation group were significantly lower than those in the control group （P〈 0.05）. Conclusions Nursing intervention basing on mindfulness-based stress reduction can effectively lower the patients＇ cancer-related fatigue, and improve their quality of life.

关 键 词：肺肿瘤 癌因性疲乏 正念减压疗法 护理干预 

分 类 号：R473.73[医药卫生—护理学]