正念行为训练结合亲情护理对肺癌放疗患者心理弹性和应对方式的影响  

Effect of Mindfulness Behavior Training Combined with Family Care on Psychological Resilience and Coping Style of Patients with Lung Cancer Undergoing Radiotherapy

作　　者：余圣 林可华 陈小舟 YU Sheng;LIN Kehua;CHEN Xiaozhou(Affiliated Cancer Hospital of Fujian Medical University,Fujian Provincial Cancer Hospital,Fuzhou 350014,China)

机构地区：[1]福建医科大学肿瘤临床医院,福建省肿瘤医院,福建福州350014

出　　处：《中国医药指南》2023年第12期163-166,共4页Guide of China Medicine

摘　　要：目的研究分析正念行为训练结合亲情护理对肺癌放疗患者心理弹性和应对方式的影响。方法选择2022年1月至2022年12月在我院接受放疗的肺癌患者300例,根据随机数表法将患者均分为两组,组别为对照组与研究组,每组患者均为150例。对照组实施常规护理,研究组实施正念行为训练结合亲情护理,观察两组患者的心理弹性、应对方式、不良反应发生情况、护理满意度、生活质量,之后统计对比两组观察结果。结果与对照组比较,研究组护理后心理弹性量表(CD-RISC)中乐观、韧性、力量分值更高(P<0.05)。相较于对照组,研究组护理后医学应对方式问卷(MCMQ)中面对分值更高,屈服、回避分值更低(P<0.05)。与对照组相比,研究组不良反应发生率更低,护理满意度更高(P<0.05)。相比于对照组,研究组护理后简明健康状况调查表(SF-36)中各指标分值更高(P<0.05)。结论肺癌放疗患者应用正念行为训练结合亲情护理后,不仅能够改善患者心理弹性,让患者积极面对疾病,还可以降低不良发应发生率,提高护理满意度及生活质量。Objective To study and analyze the effect of mindfulness behavior training combined with family care on the psychological resilience and coping style of patients with lung cancer undergoing radiotherapy.Methods 300 patients with lung cancer who received radiotherapy in our hospital from January 2022 to December 2022 were randomly divided into two groups,the control group and the study group,with 150 patients in each group.The control group carried out routine nursing,and the study group carried out mindfulness and behavior training combined with family care.The psychological resilience,coping style,occurrence of adverse reactions,nursing satisfaction and quality of life of the patients in the two groups were observed,and then the observation results of the two groups were statistically compared.Results Compared with the control group,the scores of optimism,resilience and strength in the post-nursing resilience scale(CD-RISC)of the study group were higher(P<0.05).Compared with the control group,the face score of the post-nursing medical coping style questionnaire(MCMQ)in the study group was higher,and the yield and avoidance scores were lower(P<0.05).Compared with the control group,the incidence of adverse reactions in the study group was lower,and nursing satisfaction was higher(P<0.05).Compared with the control group,the study group had higher scores of all indicators in the Concise Health Status Questionnaire(SF-36)after nursing(P<0.05).Conclusion The application of mindfulness behavior training combined with family care in patients with lung cancer radiotherapy can not only improve the psychological resilience of patients,let patients face the disease actively,but also reduce the incidence of adverse reactions,improve nursing satisfaction and quality of life.

关 键 词：肺癌 正念行为训练 亲情护理 心理弹性 应对方式 生活质量 

分 类 号：R734.2[医药卫生—肿瘤]