积极心理干预联合正念减压疗法对肺癌根治术后患者的影响  

Effect of positive psychological intervention combined with mindfulness-based decompression therapy on patients with lung cancer after radical surgery

作　　者：李娜 张可 陈璇 LI Na;ZHANG Ke;CHEN Xuan(Department of Cardiothoracic Surgery,Nanjing Jiangning Hospital,Nanjing 211100,China;Department of Endocrinology,Zhongda Hospital Afiliated to Southeast University,Nanjing 210009,China;Department of Thoracic and Cardiac Surgery,Shuyang County Hospital of Traditional ChineseMedicine,Suqian 223699,China)

机构地区：[1]南京市江宁医院心胸外科,江苏南京211100 [2]东南大学附属中大医院内分泌科,江苏南京210009 [3]沐阳县中医院胸心外科,江苏宿迁223699

出　　处：《心理月刊》2025年第4期152-154,共3页

摘　　要：目的探讨积极心理干预联合正念减压疗法对肺癌根治术后患者心理弹性、自我效能的影响。方法选择2020年1月~2023年12月在南京市江宁医院接受治疗的131例行肺癌根治术患者,采用随机数表法分为实验组(n=66)和对照组(n=65)。对照组给予正念减压疗法,实验组给予积极心理干预联合正念减压疗法。比较两组心理弹性、自我效能、PFS量表评分、PSQI量表评分及护理满意度。正态计量资料采用t检验,计数资料采用x2检验。结果干预后,两组患者坚韧、力量、乐观及总分升高,且实验组高于对照组(P<0.05);干预后,两组患者自我效能升高,且实验组高于对照组(P<0.05);干预后,两组患者行为疲乏、情感疲乏、感觉疲乏、认知疲乏评分降低,且实验组低于对照组(P<0.05);干预后,两组患者睡眠质量、睡眠时间、睡眠障碍、睡眠效率、入睡速度、助眠药物、日间活动评分及总分均降低,且实验组低于对照组(P<0.05);实验组患者护理满意度高于对照组(P<0.05)。结论在肺癌根治术后患者中给予积极心理干预联合正念减压疗法可改善患者心理弹性、自我效能。Objective To study Effect of positive psychological nursing combined with mindfulness-based decompression therapy on resilience and self-efficacy of patients after radical lung cancer surgery.Methods A total of 131 patients receiving radical resection of lung cancer in Nanjing Jiangning Hospital from January 2020 to December 2023 were selected and divided into experimental group(n=66)and control group(n=65)by random number table method.The control group was given mindfulness-based stress reduction therapy,and the experimental group was given positive psychological intervention combined mindfulness-based stress reduction therapy.Resilience,self-efficacy,PFS scale score,PSQI scale score and nursing satisfaction were compared between the two groups.Normal measurement data were tested by t test,count data were tested by x~2.Results After intervention,tenacity,strength,optimism and total score of the two groups were significantly increased,and the experimental group was higher than the control group(P<0.05).After intervention,the self-efficacy of the two groups was significantly increased,and the experimental group was higher than the control group(P<0.05).After the intervention,the sleep quality,sleep time,sleep disturbance,sleep efficiency,falling asleep speed,sleep AIDS,daytime activity scores and total scores of both groups were decreased,and the experimental group was lower than the control group(P<0.05).The nursing satisfaction of the experimental group was higher than that of the control group(P<0.05).Conclusion Positive psychological nursing combined with mindfulness-based decompression therapy can improve resilience and self-efficacy in patients with lung cancer after radical surgery.

关 键 词：积极心理干预 正念减压疗法 肺癌根治术 心理弹性 自我效能 

分 类 号：R47[医药卫生—护理学]