正念认知在乳腺癌化疗患者中的作用效果分析  

Effects of mindfulness-based cognitive therapy in breast cancer patients undergoing chemotherapy

作　　者：赵亚楠[1] 王燕[1] 常琼娟 ZHAO Ya’nan;WANG Yan;CHANG Qiongjuan(Department of Mammary Gland Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院乳腺外科,郑州4500000

出　　处：《癌症进展》2020年第6期635-638,共4页Oncology Progress

摘　　要：目的研究正念认知治疗对于乳腺癌化疗患者觉知状态、睡眠质量、心理状态和生存质量的影响。方法随机数字表法将102例乳腺癌化疗患者随机分为常规组和正念组,每组51例。常规组患者给予常规心理干预,正念组患者在常规心理干预的基础上给予正念认知干预。干预前后,采用正念注意觉知量表(MAAS)比较两组患者的觉知状态,匹兹堡睡眠质量指数(PQSI)评估两组患者的睡眠质量,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估两组患者的心理状态,采用乳腺癌患者生命质量测定量表(FACT-B)评估两组患者的生存质量。结果干预前,两组患者MAAS、PQSI、SAS、SDS评分,FACT-B量表各维度评分和总分比较,差异均无统计学意义(P﹥0.05)。干预后,两组患者MAAS评分、FACT-B量表各维度评分和总分均高于本组干预前,SAS、SDS、PQSI评分均低于本组干预前,且正念组患者MAAS评分、FACT-B量表各维度评分和总分高于常规组患者,SAS、SDS、PQSI评分低于常规组患者,差异均有统计学意义(P﹤0.05)。结论正念认知治疗能够有效改善乳腺癌化疗患者的觉知状态、睡眠质量和心理状态,从而全面改善患者的生存质量。Objective To study the effect of mindfulness-based cognitive therapy(MBCT)on the attentional status,sleep quality,psychological state of patients with breast cancer undergoing chemotherapy.Method A random number table was generated to randomize 102 patients with breast cancer who were on chemotherapy in this study as routine therapy group and MBCT group,with 51 cases in each.The routine therapy group was administered with routine psychological interventions and the MBCT group was given MBCT interventions in addition to routine care.The mindful attention awareness scale(MAAS),Pittsburg sleep quality index(PQSI),self-rating anxiety scale(SAS)and self-rating depression scale(SDS),as well as functional assessment of cancer therapy-breast(FACT-B)were employed to evaluate the attention awareness,sleep quality,anxiety and psychological state and quality of life of all patients in both groups before and after interventions.Result Before intervention,the scores of MAAS,PQSI,SAS,SDS,FACT-B overall and dimensional subscore were similar between the two groups(P>0.05).After interventions,both groups had increased scores of MAAS and higher overall and dimensional subscore of FACT-B,and decreased SAS,SDS,and PQSI scores compared to those before interventions,besides,significantly higher scores of MAAS and overall and dimensional subscore of FACT-B were recorded in MBCT group versus routine therapy group,and lower SAS,SDS and PQSI scores compared to routine therapy group patients,the differences were of statistical significance(P<0.05).Conclusion Mindfulness-based cognitive therapy exerts effective and positive effect on improving the attentional status,sleep quality and psychological state of patients with breast cancer undergoing chemotherapy,thereby ameliorating the general quality of life of patients.

关 键 词：正念认知 乳腺癌 化疗 心理状态 

分 类 号：R737.9[医药卫生—肿瘤]