正念减压法结合基于健康信念的健康教育在头颈部肿瘤患者术后康复护理中的应用  

Application of mindfulness-based stress reduction combined with health education based on health beliefs in postoperative rehabilitation nursing of head and neck tumor patients

作　　者：刘进 肖敏 李林 LIU Jin;XIAO Min;LI Lin(Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology,Wuhan,Hubei,430030,China)

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：《中西医结合护理(中英文)》2025年第1期41-44,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨正念减压法结合基于健康信念的健康教育在头颈部肿瘤患者术后康复护理中的应用效果。方法选择2022年3月至2023年3月在华中科技大学同济医学院附属同济医院肿瘤科进行手术治疗的84例头颈部肿瘤患者,使用随机数字表法分为2组,各42例。对照组实施常规护理结合基于健康信念的健康教育干预,观察组在对照组的基础上加用正念减压法干预,比较2组的干预效果。结果术后3个月,观察组的成年人健康自我管理能力测评表各项评分和总分,以及生命质量测定量表各项评分均较对照组高,焦虑自评量表和抑郁自评量表评分均较对照组低(P均<0.05),且2组均较入院时更佳(P均<0.05)。观察组的并发症总发生率低于对照组(P<0.05)。结论正念减压法结合基于健康信念的健康教育有助于提升头颈部肿瘤患者的术后自我管理能力,改善不良情绪,提升生存质量以及降低并发症发生率。Objective To explore the application effect of mindfulness-based stress reduction combined with health education based on health beliefs in postoperative rehabilitation nursing for patients with head and neck tumors.Methods Eighty-four patients with head and neck tumors who underwent surgical treatment in the Oncology Department of Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology from March 2022 to March 2023 were selected and divided into two groups using a random number table method,with 42 patients in each group.The control group received routine nursing combined with health education intervention based on health beliefs,and the observation group received additional mindfulness-based stress reduction intervention on the basis of the control group.The intervention effects of the two groups were compared.Results Three months after surgery,the scores and total scores of the Adult Health Self-management Skill Rating Scale and the Quality of Life Questionnaire-Core 30 in the observation group were higher than those in the control group.The scores of Self-Rating Anxiety Scale and Self-Rating Depression Scale in the observation group were both lower than those in the control group(both P<0.05),and both groups were better than those at admission(both P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion Mindfulness-based stress reduction combined with health education based on health beliefs can help improve the postoperative self-management ability of head and neck tumor patients,alleviate negative emotions,enhance quality of life,and reduce the incidence of complications.

关 键 词：头颈部肿瘤 正念减压法 健康教育 术后康复 

分 类 号：R473.73[医药卫生—护理学]