正念训练联合情志干预缓解肿瘤安宁期患者癌因性疲乏的效果观察

摘要 目的：探讨正念训练联合情志干预缓解肿瘤安宁期患者癌因性疲乏的效果。方法：选择2018年1月到2019年10月在本院进行诊治的肿瘤安宁期患者122例，根据随机数字表法将其分为正念组与对照组，每组各61例。对照组给予常规情志干预，正念组给予正念训练联合情志干预，两组干预观察时间为8周。记录和比较两组治疗前后癌因性疲乏指标(正念评分、焦虑与抑郁评分、睡眠质量评分、行为/严重程度、情感、感觉、认知/情绪评分)的变化情况。结果：干预后，正念组与对照组的正念评分都高于干预前，且正念组高于对照组(P<0.05)。两组干预后焦虑与抑郁评分、睡眠质量评分都显著低于干预前，正念组明显低于对照组(P<0.05)。正念组干预后的行为/严重程度、情感、感觉、认知/情绪评分都明显低于对照组(P<0.05)。结论：正念训练联合情志干预能缓解肿瘤安宁期患者的癌因性疲乏状况，提高睡眠质量与正念认知，缓解患者的焦虑与抑郁情绪。

Observation on the Effect of Mindfulness Training Combined with Emotional Intervention on Cancer-induced Fatigue

ABSTRACT Objective: To explore the effect of mindfulness training combined with emotional intervention to alleviate cancer-related fatigue in patients with tumors in the peaceful period. Methods: From January 2018 to October 2019, 122 patients with oncological stage were selected for diagnosis and treatment in our hospital and were equally divided into the mindfulness group and control group accorded to the random number table method, with 61 cases in each group. The control group was given regular emotional intervention, and the mindfulness group was given mindfulness training combined with emotional intervention. The observation period of the two groups was 8 weeks. Record and compare the changes of cancer-related fatigue indicators (mindfulness score, anxiety and depression score, sleep quality score, behavior / severity, emotion, feeling, cognition / emotion score) before and after treatment in the two groups. Results: After the intervention, the mindfulness scores of the mindfulness group and the control group were higher than those before the intervention, and the mindfulness group were higher than the control group (P<0.05). After intervention, the anxiety and depression scores and sleep quality scores of the two groups were significantly lower than before the intervention, and the mindfulness group were also significantly lower than the control group (P<0.05). After intervention, the mindfulness group''s behavior / severity, emotion, feeling, and cognitive / emotional scores were significantly lower than those of the control group (P<0.05). Conclusion: Mindfulness training combined with emotional intervention could alleviate cancer-induced fatigue in patients with tumors in the tranquil period, improve sleep quality and awareness of mindfulness, and relieve patients'' anxiety and depression.