正念减压训练联合分阶段回授法在胃癌化疗患者中的应用  

Application of mindfulness-based stress reduction training combined with staged feedback method in chemotherapy patients with gastric cancer

作　　者：吕玲[1] 兰恒平[2] 杜鑫 李娟[1] Lyu Ling;Lan Hengping;Du Xin;Li Juan(Department of Oncology,Fuyang People's Hospital,Fuyang 236000,China;Department of Hematology,Fuyang People's Hospital,Fuyang 236000,China)

机构地区：[1]阜阳市人民医院肿瘤科,阜阳236000 [2]阜阳市人民医院血液科,阜阳236000

出　　处：《中华现代护理杂志》2022年第12期1645-1648,共4页Chinese Journal of Modern Nursing

摘　　要：目的研究正念减压训练联合分阶段回授法对化疗期内胃癌患者自我感受负担、自觉压力及心理韧性的影响。方法采用便利抽样法,选取2019年5月—2021年5月阜阳市人民医院收治的80例胃癌化疗期患者为研究对象,采用随机数字表法分为对照组和研究组,各40例。对照组患者采用分阶段回授法护理干预,研究组在对照组的基础上联合正念减压训练护理干预,干预周期均为4周。比较两组患者干预前后的自我感受负担、自觉压力及心理韧性。结果干预前,两组患者的自我感受负担量表(SPBS)评分、压力知觉量表中文版(CPSS)各维度评分及总分、10条目心理韧性量表(CD-RISC-10)评分比较,差异均无统计学意义(P>0.05);干预后,研究组患者SPBS总分低于对照组,CD-RISC-10总分高于对照组,CPSS中的紧张感、失控感评分及总分均低于对照组,差异均有统计学意义(P<0.05)。结论正念减压训练联合分阶段回授法可显著减轻化疗期胃癌患者的自我感受负担和自觉压力,增强心理韧性,值得临床推广应用。Objective To study the effect of mindfulness-based stress reduction training combined with staged feedback method on self-perceived burden,self-perceived pressure and psychological resilience of gastric cancer patients during chemotherapy.Methods A total of 80 gastric cancer patients who underwent chemotherapy in Fuyang People's Hospital from May 2019 to May 2021 were selected by convenient sampling method as the research objects.They were divided into the control group and the study group by random number table method,with 40 cases in each group.The control group received staged feedback nurisng intervention,while the study group received mindfulness-based stress reduction training nursing intervention based on the intervention of control group.The intervention period was 4 weeks.Self-perceived burden,self-perceived pressure and psychological resilience were evaluated and compared between the two groups before and after intervention.Results Before intervention,there was no statistically significant difference in the scores of Self-Perceived Burden Scale(SPBS),score of dimensions and the total score of the Chinese version of Perceived Stress Scale(CPSS)and the 10 items Connor-Davidson Resilience Scale(CD-RISC-10)between 2 groups(P>0.05).After intervention,the total score of SPBS in the study group was lower than that in the control group,the total score of CD-RISC-10 was higher than that in the control group,and the score of tension,sense of loss and total score in CPSS were lower than those in the control group.The differences were all statistically significant(P<0.05).Conclusions Mindfulness-based stress reduction training combined with staged feedback method can significantly reduce the self-perceived burden and self-perceived pressure of patients with gastric cancer during chemotherapy and enhance psychological resilience,which is worthy of clinical application.

关 键 词：胃肿瘤 化疗 正念减压 分阶段回授法 自我感受负担 自觉压力 心理韧性 

分 类 号：R473.73[医药卫生—护理学]