摘要
目的:探索以“团体小组+钉钉直播”的混合式正念减压训练对提升癌症病人心理弹性,改善其睡眠质量的作用。方法:随机抽取46例癌症住院病人,分为观察组和对照组,对照组采用常规护理,观察组采用为期4周的团体面对面正念减压训练和为期4周的钉钉在线直播的护理干预,比较2组干预前后正念水平、心理弹性和睡眠质量情况。结果:干预后观察组正念得分和心理弹性得分均高于干预前,且观察组正念得分和心理弹性得分均高于对照组(P<0.01)。干预后睡眠质量总分以及其因子:主观睡眠质量、睡眠潜伏期、睡眠持续性、习惯性睡眠效率、使用睡眠药物和白天功能紊乱得分均较干预前有所降低,且观察组睡眠质量总分以及其因子:主观睡眠质量、睡眠潜伏期、睡眠持续性、使用睡眠药物和白天功能紊乱得分均低于对照组(P<0.05~P<0.01)。干预后癌症病人的正念水平与心理弹性呈正相关(P<0.01),与睡眠质量呈负相关(P<0.01),心理弹性与睡眠质量呈负相关(P<0.01)。结论:混合式正念减压训练可以有效提升癌症病人的心理弹性,改善其睡眠质量。
Objective:To explore the effects of"group+Dingding live"of mixed mindfulness-based stress reduction training on improving mental resilience and sleep quality of cancer patients.Methods:Forty-six cancer patients were randomly divided into the observation group and control group.The control group was nursed with conventional care,and the observation group was nursed with four-week of mindfulness decompression groups face-to-face training and four-week of Dingding live online nursing intervention.The intervention level of mindfulness before and after intervention,mental resilience and sleep quality were compared between two groups.Results:After intervention,the mindfulness score and mental resilience score in observation group were significantly higher than those before intervention,and the scores of mindfulness and mental resilience in observation group were significantly higher than those in control group(P<0.01).After intervention,the total score of sleep quality and its factor scores(including the subjective sleep quality,sleep latency,sleep continuity,habitual sleep efficiency,use of sleep medicine and daytime dysfunction scores)in two groups decreased compared with before intervention,and the total score of sleep quality and its factor scores(including the subjective sleep quality,sleep latency,sleep continuity,habitual sleep efficiency,use of sleep medicine and daytime dysfunction scores)in observation group were lower than those in control group(P<0.05 to P<0.01).After intervention,the level of mindfulness was significantly positively correlated with mental resilience(P<0.01),negatively correlated with sleep quality(P<0.01),and the mental resilience was negatively correlated with sleep quality(P<0.01).Conclusions:The mixed mindfulness stress reduction training can effectively improve the mental resilience and sleep quality of cancer patients.
作者
锁蕾
刘艺颍
熊玲玲
鲍国花
张亚静
SUO Lei;LIU Yi-ying;XIONG Ling-ling;BAO Guo-hua;ZHANG Ya-jing(Department of Tumor Radiotherapy,Fuyang Hospital Affiliated to Anhui Medical University,Fuyang Anhui 236000;Department of Nursing,Fuyang People′s Hospital,Fuyang Anhui 236000,China)
出处
《蚌埠医学院学报》
CAS
2020年第10期1439-1442,共4页
Journal of Bengbu Medical College
基金
安徽省阜阳市卫生健康委科研立项课题(FY2019-041)。
关键词
正念减压训练
癌症
心理弹性
睡眠质量
mindfulness stress reduction training
cancer
mental resilience
sleep quality
