团体正念认知疗法对肝郁气滞型晚期胰腺癌患者的抑郁情况及生活质量的临床研究  

A clinical study of group mindfulness-based cognitive therapy on the depression and quality of life of advanced pancreatic cancer patients of stagnation of liver-Qi type

作　　者：占春慧 谢静涛[1] 李辉 ZHAN Chunhui;XIE Jingtao;LI Hui(Hunan University of Chinese Medicine,Hunan,Changsha 410208,China;No.1 Traditional Chinese Medicine Hospital in Changde,Hunan,Changde 415000,China)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]湖南省常德市第一中医医院,湖南常德415000

出　　处：《中国医药科学》2020年第14期36-39,共4页China Medicine And Pharmacy

摘　　要：目的 研究团体正念认知疗法对肝郁气滞型晚期胰腺癌患者抑郁情况及生活质量的影响.方法 选取2017年10月-2019年10月我院收治的60例肝郁气滞型晚期胰腺癌患者作为研究对象,采用随机数字表法分组,对照组30例行常规护理干预,试验组30例行团体正念认知疗法干预,分析效果.结果 干预前,两组患者GAD-7、PHQ-9评分、PSQI及生活质量评分差异无统计学意义(P>0.05);干预后,试验组患者GAD-7、PHQ-9评分、PSQI低于对照组,功能子量表和总体健康子量表得分高于对照组,症状子量表得分低于对照组,差异有统计学意义(P<0.05).试验组患者疼痛缓解率(93.33%)显著高于对照组,差异有统计学意义(P<0.05).结论 对肝郁气滞型晚期胰腺癌患者实施团体正念认知疗法,可有效改善患者抑郁情况,提高患者生活质量,值得借鉴.Objective To study the effect of group mindfulness-basedcognitive therapy(MBCT) on the depression and quality of life of advanced pancreatic cancer patients of stagnation of liver-Qi type. Methods 60 advanced pancreatic cancer patients of stagnation of liver-Qi type admitted to our hospital from October 2017 to October 2019 were selected as subjects and were divided into two groups through random number table method. The control group(n=30) received routine nursing intervention and the experimental group(n=30) received group MBCT intervention, of which the effect was analyzed. Results Before intervention, there was no statistically significant difference in GAD-7, PHQ-9, PSQI and quality of life scores between the two groups(P > 0.05). After intervention, the GAD-7, PHQ-9 and PSQI scores of the patients in the experimental group were lower than those in the control group, the scores of the functional sub-scale and the overall health sub-scale were higher than those in the control group, and the scores of the symptom sub-scale were lower than those in the control group, with statistically significant difference(P < 0.05).The pain relief rate of the patients in the experimental group(93.33%) was significantly higher than that in the control group, and the difference was statistically significant(P < 0.05). Conclusion Group MBCT for advanced pancreatic cancer patients of stagnation of liver-Qi type can effectively ameliorate the patients’ depression and improve the quality of their life.It is worthy of reference.

关 键 词：团体正念认知疗法 肝郁气滞型 晚期胰腺癌 抑郁 生活质量 

分 类 号：R737.9[医药卫生—肿瘤]