循经冥想训练联合积极心理干预对胃癌术后化疗患者疼痛-疲乏-睡眠障碍症状群的影响  

Effect of meditative training combined with positive psychological intervention on pain,fatigue and sleep disorders in gastric cancer patients undergoing postoperative chemotherapy

作　　者：王非凡 李金花[1] 吴昊[1] Wang Feifan;Li Jinhua;Wu Hao(Department of Geriatric Oncology,Jiangsu Province Hospital,Nanjing 210029,China)

机构地区：[1]江苏省人民医院老年肿瘤科,江苏南京210029

出　　处：《海军医学杂志》2025年第1期91-94,共4页Journal of Navy Medicine

基　　金：江苏省卫生健康委员会科研项目(Z2022064)。

摘　　要：目的 探讨循经冥想训练联合积极心理干预对胃癌术后化疗患者疼痛-疲乏-睡眠障碍症状群的影响。方法 选取2021年8月至2022年8月收治的120例胃癌术后化疗患者作为研究对象,通过黑白摸球法随机分为对照组和联合组,各60例。对照组给予积极心理干预,联合组则加用循经冥想训练干预。比较2组疼痛-疲乏-睡眠障碍症状群评分、心理痛苦状况、自我护理能力、生活质量。结果 干预后,2组疼痛、疲乏、睡眠障碍、身体、情绪、实际、家庭、精神/宗教信仰问题评分均降低,联合组较对照组更低(P<0.05)。干预后,2组自我概念、责任感、护理技能、健康认知、心理、躯体、社会、症状与不良反应、特异性评分均提高,联合组较对照组更高(P<0.05)。结论 应用循经冥想训练联合积极心理干预对胃癌术后化疗患者进行干预,能够改善疼痛-疲乏-睡眠障碍症状群评分、心理痛苦、自我护理能力、生活质量。Objective To explore the effect of meditative training combined with positive psychological intervention on pain,fatigue and sleep disorders in gastric cancer patients undergoing postoperative chemotherapy.Methods A total of 120 patients who underwent postoperative chemotherapy for gastric cancer in our hospital from August 2021 to August 2022 were randomly divided into control group and combination group,with 60 cases in each group.Positive psychological intervention was applied in both groups,and the combination group additionally received meditative training.The scores of pain,fatigue and sleep disorders,psychological distress,self-care ability and quality of life were compared between the two groups.Results After intervention,the scores of pain,fatigue,sleep disorders,physical quality,emotion,reality,family and spiritual/religious beliefs were significantly decreased in both groups,and the scores in the combined group were lower than those in the control group(all P<0.05).After intervention,the scores of self-concept,responsibility,nursing skills,health cognition,psychology,body,society,symptom and side effects,and specificity were significantly increased in both groups,and the scores in the combined group were higher than those in the control group(all P<0.05).Conclusion The meditation training combined with positive psychological intervention can significantly improve the scores of pain,fatigue and sleep disorders,psychological distress,self-care ability and quality of life in gastric cancer patients undergoing postoperative chemotherapy.

关 键 词：循经冥想训练 积极心理干预 胃癌 疼痛-疲乏-睡眠障碍 

分 类 号：R473.74[医药卫生—护理学]