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正念训练对乳腺癌患者术后不良心理及生活质量的影响 被引量:38

Influence of Positive Thinking Training on Postoperative Patients' Psychology and Quality of Life after the Breast Surgery
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摘要 目的探讨正念训练对乳腺癌患者术后不良心理、睡眠质量及生活质量的影响。方法便利抽样法选取2013年3月至2014年9月哈尔滨医科大学附属第一医院甲乳外科收治的乳腺癌术后患者68例为研究对象,按其入院先后将其分为正念训练组(观察组)和常规护理组(对照组),每组34例,分别给予正念训练和常规护理。两组患者均进行7d护理,护理结束后评定两组患者不良心理、睡眠质量,并对两组患者随访3个月,比较两组患者生活质量。结果干预7d后,观察组患者焦虑、抑郁情绪评分均优于对照组,差异均有统计学意义(均P<0.01)。观察组患者睡眠质量、睡眠时间、入睡时间、睡眠深度及催眠药物评分均低于对照组,差异均有统计学意义(均P<0.01)。观察组患者生理功能、生理职能、健康状况、社会职能及情感职能评分均高于对照组,差异均有统计学意义(均P<0.01)。结论乳腺癌患者术后进行正念训练可减轻患者不良心理,提高睡眠质量和生活质量,具有较高临床应用价值。 Objective To analyze the influence of positive thinking training in the psychology,sleep quality of life quality in patients after the breast surgery.Methods By convenience sampling,68 patients were se-lected and divided into observation group (positive thinking training)and control group (routine care)ac-cording to the admission time with 34 cases in each group.After 7 days of nursing,the psychology,sleep quality was evaluated and patients’s quality of life was compared following 3 months.Results After 7 days of intervention,the anxiety and depression scores in observation group were better than which in control group (all P〈0.01).Scores of sleep quality,sleep time,time to fall asleep,sleep efficiency and hypnotic drug rating in observation group were lower than that in control group (all P〈0.01).The scores of score of physiological function,health condition,social function and emotional function in observation group were higher than which in control group (all P〈0.01).Conclusion Positive thinking training plays a positive role in the psychology,sleep quality and quality of life for patients with breast cancer after surgery,which is worth for clinical trial.
出处 《解放军护理杂志》 CSCD 2015年第7期21-23,共3页 Nursing Journal of Chinese People's Liberation Army
关键词 正念训练 乳腺癌 不良心理 睡眠质量 生活质量 positive thinking training breast cancer unhealthy psychology sleep quality quality of life
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