正念减压联合纽曼护理模式在恶性肿瘤粒子植入术患者中的应用  

Application of mindfulness-based stress reduction combined with Newman nursing model in patients undergoing seed implantation for malignant tumors

作　　者：白建玉 仝海燕 陈芳[1] 姚水丽 邵艳 BAI Jianyu;TONG Haiyan;CHEN Fang;YAO Shuili;SHAO Yan(The First Affi liated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院,河南省郑州市450000

出　　处：《护理实践与研究》2024年第3期421-428,共8页Nursing Practice and Research

基　　金：河南省医学科技攻关计划联合共建项目(编号:LHGJ20190164)。

摘　　要：目的探讨正念减压理论联合纽曼护理模式在恶性肿瘤粒子植入术患者中的应用。方法选择2021年8月—2022年8月在医院进行恶性肿瘤粒子植入术治疗的140例患者为研究对象,按照组间基线资料均衡可比的原则分为观察组和对照组,每组70例,对照组采用常规护理干预,观察组采用正念减压联合纽曼护理模式干预,比较两组患者的心理弹性[心理弹性量表(CD-RISC)]、尿失禁程度[尿失禁问卷简表(ICIQ-SF)]、术后引流时间、胃肠功能恢复时间、尿失禁持续时间、住院时间、生活质量[癌症患者生活质量量表(EORTC QLQ-C30)]、并发症发生率。结果干预后观察组CD-RISC评分高于对照组,差异有统计学意义(P<0.05)。干预后观察组ICIQ-SF各维度评分均低于对照组,差异有统计学意义(P<0.05)。干预后观察组患者术后引流时间、胃肠功能恢复时间、尿失禁持续时间、住院时间均短于对照组,差异有统计学意义(P<0.05)。干预后观察组EORTC QLQ-C30中功能领域及总体健康领域评分高于对照组,差异有统计学意义(P<0.05),EORTC QLQ-C30中症状领域评分均低于对照组,差异有统计学意义(P<0.05)。干预后观察组患者并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论将正念减压联合纽曼护理模式应用于恶性肿瘤粒子植入术患者的护理中可改善其心理健康,同时降低尿失禁程度,加快术后恢复,并提高其生活质量,减少并发症的发生。Objective To explore the application of mindfulness-based stress reduction theory combined with Newman nursing model in patients undergoing seed implantation for malignant tumors.Methods To select 140 patients who underwent seed implantation for malignant tumors in the hospital from August 2021 to August 2022 as the research subjects,they were divided into an observation group and a control group according to the principle of balanced and comparable baseline data between groups,with 70 cases in each group.The control group used conventional nursing intervention,and the observation group used mindfulness-based stress reduction combined with Newman nursing model intervention.The psychological resilience[Connor-Davidson resilience scale(CDRISC)],degree of urinary incontinence[international consultation on incontinent questionnaire short form(ICIQSF)],postoperative drainage time,gastrointestinal function recovery time,duration of urinary incontinence,hospitalization time,quality of life[European Organization for Research and Treatment of cancer quality of life questionnaire(EORTC QLQ-C30)],and incidence of complications of the two groups of patients were compared.Results After intervention,the CD-RISC score in the observation group was higher than that in the control group,the difference was statistically signifi cant(P<0.05).After intervention,the each dimension scores of ICIQ-SF in the observation group were lower than those in the control group,the differences were statistically signifi cant(P<0.05).After intervention,the postoperative drainage time,gastrointestinal function recovery time,duration of urinary incontinence and hospitalization time in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).After intervention,the scores in the functional domain and overall health domain of EORTC QLQ-C30 in the observation group were higher than those in the control group,the differences were statistically signifi cant(P<0.05),and the scores in the sympt

关 键 词：正念减压理论 纽曼护理模式 恶性肿瘤粒子植入术 心理健康 尿失禁 

分 类 号：R473.73[医药卫生—护理学]