正念减压对早中期乳腺癌患者灵性水平和睡眠质量的影响  

Effects of Mindfulness-based Stress Reduction on Spiritual Level and Sleep Quality in Early and Middle Breast Cancer Patients

作　　者：曾燕华 刘英 甘晓庆[1] 曾雅力[2] Zeng Yanhua;Liu Ying;Gan Xiaoqing(People′s Hospital of Hunan Province,Changsha Hunan 410004,China)

机构地区：[1]湖南省人民医院,湖南长沙410004 [2]长沙市中心医院

出　　处：《齐鲁护理杂志》2020年第4期47-50,共4页Journal of Qilu Nursing

摘　　要：目的:探讨正念减压疗法对早中期乳腺癌患者灵性状况和睡眠质量的影响。方法:采用便利抽样法,抽取湖南省某三级甲等医院肿瘤科早中期乳腺癌患者72例,根据就医时间分为对照组和干预组各36例,对照组给予常规护理,干预组在对照组基础上给予正念减压疗法;采用中文版慢性疾病治疗功能评估-灵性量表[包括癌症治疗功能评估-通用量表(FACT-G)和慢性病治疗功能评估-灵性量表12(FACIT-sp-12)]和匹兹堡睡眠质量指数(PSQI)对两组患者干预前后的灵性水平、睡眠质量进行评价。结果:干预前,两组FACT-G、FACIT-sp-12、PSQI评分比较差异均无统计学意义(P>0.05);干预8周,干预组FACT-G、FACIT-sp-12评分均高于对照组(P<0.05),PSQI评分除日间功能外,各维度评分均低于对照组(P<0.05)。结论:正念减压疗法能在一定程度上改善乳腺癌患者的灵性状态和睡眠质量,可作为一种有效的干预方式应用到乳腺癌患者的护理中,提高患者的整体健康水平。Objective:To investigate the effect of mindfulness-based stress reduction therapy on the spiritual status and sleep quality of early and middle breast cancer patients.Methods:A total of 72 cases of early and middle stage breast cancer patients in oncology department of a Grade 3 Class A hospital in Hunan province were selected by convenient sampling.According to the treatment time,they were divided into control group and intervention group with 36 cases each.The control group was given routine nursing,and the intervention group was given mindfulness stress reduction therapy on the basis of the control group.The Chinese version of the chronic disease treatment function assessment-spirituality scale(including FACT-G and FACIT-sp-12)and the Pittsburgh Sleep Quality Index(PSQI)were used to evaluate the spiritual level and sleep quality of the two groups of patients before and after the intervention.Results:Before intervention,there was no significant statistical difference in the scores of FACT-G,FACIT-sp-12 and PSQI between the two groups(P>0.05).After 8 weeks of intervention,the scores of FACT-G and FACIT-sp-12 in the intervention group were higher than those in the control group(P<0.05),and the scores of PSQI in all dimensions were lower than those in the control group except for daytime function(P<0.05).Conclusion:Mindfulness-based stress reduction therapy can improve the spiritual state and sleep quality of breast cancer patients to a certain extent,which is applied to the nursing of breast cancer patients as an effective intervention to improve the overall health of patients.

关 键 词：乳腺癌 正念减压 灵性水平 睡眠治疗 

分 类 号：R473.73[医药卫生—护理学]