团队管理联合正念减压干预在肺癌化疗患者中的应用效果  

Effects of team management combined with mindfulness-based stress reduction intervention in patients receiving chemotherapy for lung cancer

作　　者：王玮[1] 王莉[2] 杨秀丽 Wang Wei;Wang Li;Yang Xiuli(Department of Internal Medicine,Jinan 2nd People's Hospital,Jinan 250022,China;Department of Gastroenterology,the Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250000,China;Department of Ophthalmology,Jinan 2nd People's Hospital,Jinan 250022,China)

机构地区：[1]济南市第二人民医院内科,250022 [2]山东中医药大学第二附属医院消化内科,济南250000 [3]济南市第二人民医院眼科,250022

出　　处：《中华现代护理杂志》2020年第25期3520-3525,共6页Chinese Journal of Modern Nursing

摘　　要：目的探讨团队管理联合正念减压干预对肺癌化疗患者癌因性疲乏及生活质量的影响。方法采用便利抽样法选择2016年1月—2019年1月在济南市第二人民医院肿瘤科行手术治疗并进行化疗的80例肺癌患者作为研究对象,按照随机数字表法分为对照组和干预组,各40例。对照组采用常规护理,干预组实施团队管理联合正念减压干预。干预7周后,比较两组干预前后的癌因性疲乏评分、疲乏症状、焦虑和抑郁得分、自我效能感及生活质量情况。结果干预7周后,干预组患者的癌因性疲乏评分低于对照组,疲乏症状较对照组轻,患者正性态度、自我减压、自我决策及自我效能感总分均高于对照组,SAS、SDS评分低于对照组,差异有统计学意义(P<0.05)。干预组患者的躯体功能、情绪功能、总体健康状况得分高于对照组,疲倦、恶心呕吐、气促、失眠、腹泻、便秘得分低于对照组,差异有统计学意义(P<0.05)。结论团队管理联合正念减压可改善肺癌化疗患者的癌因性疲乏和焦虑、抑郁症状,能够提高患者自我效能感和生活质量。Objective To explore the effects of team management combined with mindfulness-based stress reduction(MBSR)on cancer-related fatigue and quality of life in patients receiving chemotherapy for lung cancer.Methods Totally 80 patients with lung cancer who underwent surgery and chemotherapy in Jinan 2nd People's Hospital from January 2016 to January 2019 were selected using convenient sampling and divided into the control group and the intervention group according to the random number table,with 40 cases in each group.Patients in the control group received routine care,while patients in the intervention group underwent team management combined with MBSR.After 7 weeks of intervention,the cancer-related fatigue scores,fatigue symptoms,anxiety and depression scores,self-efficacy and quality of life were compared between the two groups before and after the intervention.Results After 7 weeks of intervention,the cancer-related fatigue score of the intervention group was lower than that of the control group;the fatigue symptoms in the intervention group were milder than those in the control group;the scores of positive attitude,self-stress reduction,self-decision and total score of self-efficacy in the intervention group were higher than those in the control group;the SAS,SDS scores of the intervention group were lower than those of the control group;the differences were statistically significant(P<0.05).The scores of physical function,emotional function and overall health of the intervention group were higher than those of the control group;the scores of fatigue,nausea and vomiting,shortness of breath,insomnia,diarrhea and constipation were lower than those of the control group;the differences were statistically significant(P<0.05).Conclusions Team management combined with MBSR can ameliorate cancer-related fatigue,anxiety,and depression symptoms in patients receiving chemotherapy for lung cancer,and improve their self-efficacy and quality of life.

关 键 词：肺肿瘤 化疗 团队管理 正念减压 癌因性疲乏 生活质量 

分 类 号：R473.73[医药卫生—护理学]