家属参与的正念情绪-行为构建干预在足月妊娠合并宫颈癌患者围手术期中的应用效果  

Application effect of mindfulness emotion-behavior construction with family participation intervention in perioperative period of cervical cancer patients complicated with full-term pregnancy

作　　者：周芹 梅琳琳 闫欣 陈淑梅 ZHOU Qin;MEI Linlin;YAN Xin;CHEN Shumei(Delivery Room,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou 450000,He’nan,China;Ward 1,Department of Gynecology,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou 450000,He’nan,China;Department of Obstetrics and Gynecology,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学附属郑州中心医院产房,郑州450000 [2]郑州大学附属郑州中心医院妇科一病区,郑州450000 [3]郑州大学附属郑州中心医院妇产科,郑州450000

出　　处：《癌症进展》2025年第8期950-953,共4页Oncology Progress

摘　　要：目的目的探讨家属参与的正念情绪-行为构建干预在足月妊娠合并宫颈癌患者围手术期中的应用效果。方法方法根据干预方案的不同将51例足月妊娠合并宫颈癌患者分为对照组(n=23)和研究组(n=28),对照组患者接受常规干预,研究组患者接受家属参与的正念情绪-行为构建干预。比较两组患者的负性情绪[非精神科住院患者心理状态评定量表(MSSNS)]、疾病应对方式[医学应对方式问卷(MCMQ)]、自我管理效能感[自我管理效能感量表(SUPPH)]和母婴不良结局发生情况。结果结果干预后,两组患者MSSNS各维度评分均低于本组干预前,研究组患者MSSNS各维度评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者回避、屈服评分均低于本组干预前,面对评分均高于本组干预前,研究组患者回避、屈服评分均低于对照组,面对评分高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SUPPH各维度评分均高于本组干预前,研究组患者SUPPH各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。研究组患者的母婴不良结局总发生率为14.29%,与对照组患者的30.43%比较,差异无统计学意义(P﹥0.05)。结论结论家属参与的正念情绪-行为构建干预应用于足月妊娠合并宫颈癌患者围手术期干预中,可减轻患者的负性情绪,提高其自我管理效能感,改善疾病应对方式,有利于降低母婴不良结局的发生风险。Objective To explore the application effect of mindfulness emotion-behavior construction with family participation intervention in perioperative period of cervical cancer patients complicated with full-term pregnancy.Method According to different intervention methods,51 cervical cancer patients complicated with full-term pregnancy were divided into control group(n=23)and study group(n=28).Patients in the control group received routine interven-tion,while patients in the study group received mindfulness emotion-behavior construction with family participation inter-vention.The negative emotions[mental status scale in non-psychiatric setting(MSSNS)],disease coping strategies[medi-cal coping modes questionnaire(MCMQ)],self-management efficacy[strategies used by people to promote health(SUP-PH)],and maternal-infant adverse outcomes were compared between the two groups.Result After intervention,the scores of dimensions of MSSNS in both groups were lower than those before intervention,the scores of dimensions of MSSNS in study group were lower than those in control group,and the differences were statistically significant(P<0.05).After intervention,the avoidance and surrender scores in both groups were lower than those before intervention,the face scores were higher than those before intervention,the avoidance and surrender scores in study group were lower than those in control group,and face score was higher than that in control group,and the differences were statistically signifi-cant(P<0.05).After intervention,the scores of dimensions of SUPPH in both groups were higher than those before inter-vention,the scores of dimensions of SUPPH in study group were higher than those in control group,and the differences were statistically significant(P<0.05).The total incidence of maternal-infant adverse outcomes in study group was 14.29%,which was not statistically significant compared to 30.43%in control group(P>0.05).Conclusion The mindful-ness emotion-behavior construction with family participation intervention in perioperati

关 键 词：家属参与的正念情绪-行为构建干预 足月妊娠 宫颈癌 疾病应对方式 

分 类 号：R737.33[医药卫生—肿瘤]