正念减压法对恶性肿瘤患者癌因性疲乏和负性情绪的干预效果

目的:探讨正念减压法对恶性肿瘤患者癌因性疲乏以及负性情绪的干预效果。方法:选择2016年7月-2018年3月期间我院收治的122例恶性肿瘤患者为研究对象,以随机数字表法分为观察组(n=61)和对照组(n=61),对照组接受常规健康心理疏导,观察组给予正念减压法进行干预,干预疗程为3个月。干预前后分别采用癌症疲乏量表、焦虑自评量表和汉密尔顿抑郁量表(HAMD)、肺癌生存质量测定量表(FACT-L)评估两组患者癌因性疲乏情况、焦虑和抑郁情况及生活质量。结果:干预后,两组认知疲乏评分、躯体疲乏评分、情感疲乏评分及总分均较干预前降低,且观察组低于对照组(P0.05)。干预后对照组焦虑自评量表评分和HAMD评分与干预前比较无统计学差异(P0.05),干预后观察组焦虑自评量表评分和HAMD评分低于干预前和对照组(P0.05)。干预后生理状况、社会/家庭状况、情感状况、功能状况及附加的关注情况评分较干预前上升,且观察组高于对照组(P0.05)。结论:在恶性肿瘤患者的干预过程中正念减压法能够显著降低患者的癌因性疲乏程度,改善患者负性情绪,同时对提高患者的生活质量也具有积极作用。

The Intervention Effect of Mindfulness-based Stress Reduction on Cancer-related Fatigue and Negative Emotions in Patients of Malignant Tumor

ABSTRACT Objective: To discuss intervention the effect of mindfulness-based stress reduction on cancer-related fatigue and nega- tive emotions in patients of malignant tumor. Methods: A total of 122 cases of patients with malignant tumor in our hospital from July 2016 to March 2018 were selected as research subjects, all of them were divided into observation group (n=61) and control group (n=61) according to the random number table method. The control group received routine health counseling, and patients in observation group were intervened by mindfulness-based stress reduction method. The intervention course were 3 months. The cancer fatigue scale, self-rat- ing anxiety scale, Hamilton Depression Scale (HAMD) and Functional Assessment of Cancer Therapy-Lung (FACT-L) were respectively used to evaluate the status of cancer-related fatigue, anxiety and depression status, and the life quality in two groups before and after in- tervention. Results: After intervention, the cognitive fatigue scores, physical fatigue scores, emotional fatigue scores and total scores of the two groups were lower than those before intervention, and the observation group were lower than the control group (P<0.05). After intervention, there was no significant difference in the self-rating anxiety scale scores and HAMD scores between the two groups (P>0.05). After intervention, the self-rating anxiety scale scores and HAMD scores of the observation group were lower than those of the inter- vention group and the control group(P<0.05). The physiological status, social/family status, emotional status, functional status and addi- tional concerns scores increased after the intervention, and the observation group were higher than that of the control group(P<0.05). Conclusion: In the intervention process of patients with malignant tumor, mindfulness-based stress reduction can significantly lighten can- cer-related fatigue and improve negative emotion of malignant tumor patients. At the same time, it is also play a positive role in improv- ing the life quality of patients.