正念干预在恶性血液病患者中应用的范围综述  

Application of mindfulness intervention in patients with malignant hematological diseases:a scoping review

作　　者：刘洁[1] 王蓉蓉 任建兰[1] 张薇[1] Liu Jie;Wang Rongrong;Ren Jianlan;Zhang Wei(Department of Hematology,Tianjin Medical University General Hospital,Tianjin 300052,China)

机构地区：[1]天津医科大学总医院血液内科,天津300052

出　　处：《中国实用护理杂志》2024年第35期2795-2800,F0003,共7页Chinese Journal of Practical Nursing

基　　金：天津市教委科研计划项目(2023SK018)。

摘　　要：目的对正念干预在恶性血液病患者中的应用进行范围审查,为形成标准化恶性血液病患者正念干预临床路径提供依据。方法遵循Arksey and O’Malley的范围综述框架,系统检索国内外数据库中有关正念干预在恶性血液肿瘤患者中应用的相关研究,检索时限限定为1982年1月至2023年12月,对纳入的文献进行筛选、分析和汇总。结果共纳入17篇文献,干预的实施者具有一定专业性,以护士居多;干预类型以正念减压疗法及单一正念练习为主;正念干预在恶性血液肿瘤患者中的效果衡量指标主要是心理指标、生理指标、主观体验及总体评价。结论正念干预在恶性血液肿瘤患者焦虑、抑郁、生命质量改善上展现出积极效果,未来需灵活细化干预方案实施内容,加强相关护理人员正念培训,为正念干预在恶性血液病患者临床护理实践中推广应用奠定基础。Objective To conduct a scoping review of the application of mindfulness intervention in patients with hematological malignancies,and to provide a basis for forming a standardized clinical pathway for mindfulness intervention in patients with hematological malignancies.Methods Following the scoping review framework of Arksey and O′Malley,domestic and foreign databases for relevant studies on the application of mindfulness intervention in patients with hematological malignancies were systematically searched.The search period was from January 1982 to December 2023,and the included literature was screened,analyzed,and summarized.Results A total of 17 literatures were included.The implementers of the intervention had certain professionalism,mostly nurses;the intervention types were mainly mindfulness-based stress reduction therapy and single mindfulness exercises;the main indicators of the effectiveness of mindfulness intervention in patients with hematological malignancies were psychological Indicators,physiological indicators,subjective experience and overall evaluation.Conclusions Mindfulness intervention has shown positive effects in improving anxiety,depression,and quality of life in patients with malignant hematological tumors.In the future,it is necessary to flexibly refine the implementation content of the intervention plan and strengthen mindfulness training for relevant nursing staff,laying a foundation for the promotion and application in clinical nursing practice of patients with hematologic malignancies.

关 键 词：血液病 恶性 正念干预 焦虑 抑郁 范围综述 

分 类 号：R473.73[医药卫生—护理学]