正念压力管理短训课程干预对乳腺癌根治术患者正念水平、疾病不确定感与恐惧疾病进展的影响  

Effect of Mindfulness-based Stress Reduction Intervention on Mindfulness Level,Disease Uncertainty and Fear of Disease Progression in Patients after Radical Mastectomy

作　　者：桂梦珍 GUI Mengzhen(Department of General SurgeryⅠWard,Yingtan City People's Hospital,Yingtan 335000,China)

机构地区：[1]鹰潭市人民医院普外一病区,江西鹰潭335000

出　　处：《中国医学创新》2024年第17期117-122,共6页Medical Innovation of China

摘　　要：目的:观察正念压力管理短训课程干预对乳腺癌根治术患者正念水平、疾病不确定感与恐惧疾病进展的影响,为提高乳腺癌根治术后护理质量提供循证医学参考。方法:选择2019年6月—2023年1月鹰潭市人民医院收治的乳腺癌患者60例作为研究样本,按数字编号信封法分为研究组和对照组,各30例。两组均接受乳腺癌根治术,均由本院同一手术团队完成,对照组患者术后给予常规护理干预,研究组在对照组基础上给予正念压力管理短训课程干预。对比两组干预前后的正念水平[正念注意觉知量表(MAAS)]、疾病不确定感[Mishel疾病不确定感量表(MUIS)]、恐惧疾病进展[恐惧疾病进展简化问卷(FoP-Q-SF)]、婚姻质量[奥尔松婚姻质量问卷(OEMI)]和生活质量[世界卫生组织生活质量-100量表(WHOQOL-100)],记录两组术后并发症发生率并加以比较。结果:干预后,两组MAAS评分均明显升高,且研究组高于对照组,差异均有统计学意义(P<0.05);干预后,研究组OEMI、WHOQOL-100评分均明显升高,且研究组均高于对照组,差异均有统计学意义(P<0.05);干预后,两组MUIS、FoP-Q-SF评分均明显降低,且研究组均低于对照组,差异均有统计学意义(P<0.05);两组术后并发症发生率对比,差异无统计学意义(P>0.05)。结论:正念压力管理短训课程干预可有效改善乳腺癌根治术后患者正念水平,缓解患者疾病不确定感和恐惧疾病进展,提高婚姻质量和生活质量。Objective:To observe the effect of mindfulness-based stress reduction intervention on mindfulness level,disease uncertainty and fear of disease progression in patients after radical mastectomy,and to provide evidence-based medical reference for improving nursing quality after radical mastectomy.Method:A total of 60 patients with breast cancer admitted to Yingtan City People's Hospital from June 2019 to January 2023 were selected as research samples,and were divided into study group and control group according to numbered envelope method,with 30 cases in each group.Both groups received radical mastectomy,which was completed by the same surgical team in our hospital.Patients in the control group were given routine nursing intervention after surgery,and the study group was given indfulness-based stress reduction intervention based on the control group.The mindfulness level[mindful attention awareness scale(MAAS)],disease uncertainty[Mishel uncertainty in illness scale(MUIS)],fear of disease progression[fear of progression questionnaire-short form(FoP-Q-SF)],marital quality[Olson enrich marital inventory(OEMI)]and quality of life[WHO quality of life-100(WHOQOL-100)]were compared between the two groups before and after the intervention,and the incidence of postoperative complications was recorded and compared between the two groups.Result:After intervention,the MAAS scores in both groups were significantly increased,and that in the study group was higher than that in the control group,the differences were statistically significant(P<0.05).After intervention,OEMI and WHOQOL-100 scores in the study group were significantly increased,and those in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).After intervention,the scores of MUIS and FoP-Q-SF in both groups were significantly decreased,and those in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).There were no significant differences in the

关 键 词：乳腺癌根治术 正念压力管理短训课程 正念水平 疾病不确定感 恐惧疾病进展 

分 类 号：R473.73[医药卫生—护理学]