正念行为训练结合日记式康复指导对肺癌术后伴发焦虑抑郁患者心理状况及应对方式的影响  

Effect of mindfulness behavior training combined with diary-based rehabilitation guidance on psychological status and coping style of patients with anxiety and depression after lung cancer surgery

作　　者：杨娟 李文倩 王亚如 YANG Juan;LI Wenqian;WANG Yaru(Guanyun County People's Hospital of Jiangsu Province,Lianyungang 222200,China)

机构地区：[1]江苏省灌云县人民医院,江苏连云港222200

出　　处：《心理月刊》2025年第3期185-187,共3页

摘　　要：目的探讨肺癌术后伴发焦虑抑郁患者,给予正念行为训练结合日记式康复指导效果,及对其心理状况、应对方式的影响。方法选取2023年6月~2024年6月我院收治的80例肺癌术后伴发焦虑抑郁患者作为研究对象,依据随机数字表法分为两组,对照组采用日记式康复指导,观察组联合正念行为训练,对比两组术后恢复指标、焦虑抑郁情绪、应对方式、心境状态、风险事件发生率。结果观察组干预后疼痛介质水平、负性情绪评分低于对照组(P<0.05);两组干预后MCMQ评分对比有差异(P<0.05);观察组干预后GAD-7评分、BPOMS-SF评分、风险事件发生率低于对照组(P<0.05)。结论在对肺癌术后伴发焦虑抑郁患者治疗期间,采用正念行为训练联合日记式康复指导,可显著改善患者心理状态,提升患者应对能力。Objective Exploring the effects of mindfulness behavior training and diary style rehabilitation guidance on postoperative anxiety and depression in patients with lung cancer,and its impact on psychological status and coping strategies.Methods 80 patients with anxiety and depression after lung cancer surgery in our hospital from June 2023 to June 2024 were selected as the research object,and were randomly divided into two groups.The control group was given diary-based rehabilitation guidance,and the observation group was combined with mindfulness training.The postoperative recovery index,anxiety and depression,coping style,state of mind and the incidence of risk events were compared between the two groups.Results After intervention,the level of pain mediators and negative emotion scores in the observation group were lower than those in the control group(P<0.05);there was a significant difference in medical coping modes questionnaire(MCMQ)scores between the two intervention groups(P<0.05);after intervention,the GAD-7 score,BPOMS-SF score,and incidence of risk events in the observation group were lower than those in the control group(P<0.05).Conclusion During the treatment of patients with anxiety and depression after lung cancer surgery,mindfulness behavior training combined with diary-based rehabilitation guidance can significantly improve patients'psychological state and enhance their coping ability,which has high clinical application value.

关 键 词：肺癌 焦虑抑郁 正念行为训练 日记式康复指导 心境状态 应对方式 

分 类 号：R47[医药卫生—护理学]