正念减压结合SHOW模式健康教育在食管癌围术期患者中的应用  

Application of Mindfulness-Based Stress Reduction Combined with SHOW Mode-Based Health Edu⁃cation in Perioperative Esophageal Cancer Patients

作　　者：侯晓营 潜艳 董翠萍 易绚丽 覃梦霞 HOU Xiaoying;QIAN Yan;DONG Cuiping;YI Xuanli;QIN Mengxia(Tongji Hospital,Tongji Medical College of HUST,Wuhan,Hubei 430030)

机构地区：[1]华中科技大学同济医学院附属同济医院,湖北武汉430030

出　　处：《上海护理》2025年第2期18-23,共6页Shanghai Nursing

摘　　要：目的探究SHOW模式健康教育结合正念减压疗法在食管癌围术期患者心理干预中的应用效果。方法采取方便抽样法,选取2023年3月至2024年2月在武汉市某三级甲等医院胸外科住院治疗的食管癌手术患者87例为研究对象,根据入院时间顺序将患者分为对照组(n=42)和观察组(n=45)。对照组根据SHOW模式为患者进行包括小视频、手册、口述和微信等多种形式的健康教育。观察组在对照组基础上,应用正念减压疗法结合SHOW模式的健康教育。采用癌症应对问卷(CCMQ)和心理调节问卷(PASCP)观察两组患者干预前后癌症应对能力和心理调节能力。结果观察组患者的PASCP总分和CCMQ中“面对”维度得分明显高于对照组,且均高于干预前得分,差异具有统计学意义(P<0.05)。结论将SHOW模式健康教育结合正念减压疗法应用于食管癌围术期患者心理干预中,使患者能积极、豁达地应对和接受治疗中可能会遇到的不良反应,增强患者治疗信心和心理调节能力。Objective To explore the effect of psychological intervention that combines mindfulness-based stress reduction with SHOW mode-based health education in perioperative esophageal cancer patients.Methods A total of 87 patients who underwent esophageal cancer surgery and were hospitalized in the Thoracic Surgery Department of a GradeⅢ-A hospital in Wuhan from March 2023 to February 2024 were selected by convenience sampling.They were divided into the control group(n=42)and the observation group(n=45)by order of admission.The control group was given SHOW mode-based health education in various forms,including short videos,manuals,verbal instructions and WeChat.The observation group was given mindfulness-based stress reduction combined with SHOW mode-based health education.The Cancer Coping Modes Questionnaire(CCMQ)and Psychological Adjustment Scale for Cancer Patients(PASCP)were used to evaluate cancer coping and psychological adjustment abilities before and after intervention in the two groups.Results The total score of PASCP and the"confrontation"score of CCMQ in the observation group were significantly higher than those in the control group,and both scores were higher than those before the intervention,with significant differences(P<0.05).Conclusion Psychological intervention that combines mindfulness-based stress reduction with SHOW mode-based health education enables perioperative esophageal cancer patients to actively respond and accept the adverse reactions they may encounter during treatment.This approach enhances their confidence and psychological adjustment ability in treatment.

关 键 词：SHOW模式 健康教育 正念减压 食管肿瘤 心理干预 

分 类 号：R473.6[医药卫生—护理学]