正念减压疗法联合中医情志护理对胃肠道癌术后患者知觉压力及遵医行为的影响  

Effects of Mindfulness-based Decompression Therapy Combined with Traditional Chinese Emotional Nursing on Perceived Stress and Compliance Behavior of Patients with Gastrointestinal Cancer after Surgery

作　　者：张永杰 王东阳 王雪燕 ZHANG Yongjie;WANG Dongyang;WANG Xueyan(ZHANG Zhongjing Hospital,Henan Nanyang 473400,China)

机构地区：[1]河南南阳张仲景医院,河南南阳473400

出　　处：《中医药临床杂志》2024年第5期978-982,共5页Clinical Journal of Traditional Chinese Medicine

摘　　要：目的:探讨正念减压疗法联合中医情志护理在胃肠道癌术后的应用价值。方法:选取2021年2月—2023年2月384例胃肠道癌术后患者,按入院顺序分为常规组(n=192)、正念减压组(n=192),2组均行常规护理,常规组在常规护理基础上行中医情志护理,正念减压组在常规组基础上行正念减压疗法,2组均干预3个月。比较2组胃肠道功能、知觉压力[中文版知觉压力量表(CPSS)]、遵医行为、生活质量[生活质量量表(GQOL-74)]。结果:正念减压组肛门排气、肠鸣音恢复、排便、进食时间均短于常规组(P<0.05);与干预前比较,干预后各组CPSS评分明显降低,且正念减压组改善更为显著(P<0.05);干预后正念减压组遵医用药、健康饮食、适当运动、按时复诊等遵医行为评分升高幅度>常规组(P<0.05);与干预前比较,各组GQOL-74评分明显升高,且正念减压组改善更为显著(P<0.05)。结论:对胃肠道癌术后患者实施正念减压疗法联合中医情志护理,能减轻知觉压力、提高遵医行为、改善胃肠道功能、提高生活质量。Objective:To explore the application value of mindfulness-based stress reduction therapy combined with traditional Chinese medicine emotional care in gastrointestinal cancer surgery.Methods:384 patients after gastrointestinal cancer surgery from February 2021 to February 2023 were selected and divided into conventional group(n=192)and mindfulness-based stress reduction group(n=192)according to the order of admission.Both groups received routine Nursing,the conventional group received traditional Chinese medicine emotional care on the basis of routine nursing,and the mindfulness-based stress reduction group received mindfulness-based stress reduction therapy on the basis of the conventional group.Both groups were intervened for 3 months.The gastrointestinal function,perceived stress(Chinese version of Perceived Stress Scale(CPSS)),medical compliance behavior,and quality of life[Quality of Life Scale(GQOL-74)]were compared between the 2 groups.Results:The mindfulness-based stress reduction group’s anal exhaust,bowel sound recovery,defecation,and eating time were all shorter than those in the conventional group(P<0.05);compared with before the intervention,the CPSS scores of each group were significantly lower after the intervention,and the mindfulness-based stress reduction group The improvement was more significant(P<0.05);after the intervention,the mindfulness-based stress reduction group’s medical compliance scores such as compliance with medication,healthy diet,appropriate exercise,and follow-up visits on time increased more than those of the conventional group(P<0.05);compared with before the intervention,the GQOL-74 scores of each group increased significantly,and the mindfulness-based stress reduction group improved more significantly(P<0.05).Conclusion:Implementing mindfulness-based stress reduction therapy combined with traditional Chinese medicine emotional care for patients after gastrointestinal cancer surgery can reduce perceived stress,improve medical compliance behavior,improve gastrointestinal f

关 键 词：正念减压疗法 中医情志护理 胃肠道癌 知觉压力 遵医行为 

分 类 号：R735.2[医药卫生—肿瘤]