正念减压疗法对中青年晚期癌症患者配偶预期性悲伤的影响  

Effect of mindfulness-based stress reduction therapy on anticipatory grief in spouses of young and middle-aged patients with advanced cancer

作　　者：罗念平 胡妍[1] 胡丹 陈霞 LUO Nianping;HU Yan;HU Dan;CHEN Xia(Department of Hospice Care,Jiangxi Cancer Hospital,Jiangxi Province,Nanchang330029,China;The Second Ward of Liver and Gallbladder,Jiangxi Cancer Hospital,Jiangxi Province,Nanchang330029,China;The Second Ward of Head and Neck Radiotherapy,Shandong Cancer Hospital,Shandong Province,Jinan250000,China)

机构地区：[1]江西省肿瘤医院安宁疗护科,江西南昌330029 [2]江西省肿瘤医院肝胆二病区,江西南昌330029 [3]山东省肿瘤医院头颈放疗二病区,山东济南250000

出　　处：《中国当代医药》2024年第22期28-31,36,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202210988)。

摘　　要：目的探讨正念减压疗法对中青年晚期癌症患者配偶预期性悲伤的影响。方法选取2021年4月至6月江西省肿瘤医院就诊的74例患者配偶作为研究对象,采用随机数字表法将其分为对照组、观察组,每组各37例。对照组给予常规健康教育及心理护理,观察组在此基础上实施正念减压疗法。分别于干预前1天、干预8周结束后当天采用预期性悲伤量表(AGS)、照顾者负担量表(CBI)以及正念注意觉知量表(MAAS)对患者配偶进行干预效果的评估。结果干预后观察组配偶AGS总分、CBI总分低于对照组,且差异有统计意义(P<0.05);观察组干预后MAAS总分高于对照组,差异有统计意义(P<0.05)。结论正念减压疗法可降低中青年晚期癌症患者配偶预期性悲伤水平,并减轻配偶的照顾负担、提高其生存质量及正念水平,值得推广。Objective To explore the effect of mindfulness-based stress reduction therapy on anticipatory grief in spouses of young and middle-aged patients with advanced cancer.Methods A total of 74 spouses of patients treated in Jiangxi Cancer Hospital from April to June 2021 were selected as the research objects.They were divided into the control group and the observation group by the random number table method,with 37 cases in each group.The control group was given routine health education and psychological nursing,and the observation group was given mindfulness-based decompression therapy.The anticipatory grief scale(AGS),the caregiver burden scale(CBI)and the mindful attention awareness scale(MAAS)were used to evaluate the effect on spouses of patients 1 day before and 8 weeks after the intervention.Results After intervention,the total scores of AGS and CBI in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the total score of MAAS in observation group was higher than that in control group,and the difference was statistically significant(P<0.05).Conclusion Mindfulness-based stress reduction therapy can reduce the anticipatory sadness level of spouses of middle-aged and young patients with advanced cancer,reduce the burden of spouse care,and improve their quality of life and mindfulness level,which is worth promoting.

关 键 词：中青年配偶 癌症晚期 预期性悲伤 正念减压疗法 

分 类 号：R749.055[医药卫生—神经病学与精神病学]