摘要
目的探讨正念认知疗法改善恶性肿瘤放疗患者焦虑抑郁、心理痛苦、正念觉知及生命质量的效果,以期为临床实际应用提供经验。方法本研究为类实验研究,采用便利抽样法选取2019年4月至2021年1月上海市质子重离子医院就诊的96例恶性肿瘤放疗患者作为研究对象,按照区组随机方法分为干预组47例和对照组49例。对照组予以常规心理护理和健康教育,于研究结束后指导其学习正念认知疗法的音视频;干预组给予为期4周8次的正念认知疗法干预。干预结束后采用心理痛苦温度计、广泛性焦虑量表、患者健康问卷抑郁量表、五因素正念量表简明版、欧洲癌症研究与治疗组织生命质量测定量表对2组患者的心理痛苦、焦虑抑郁、正念觉知和生命质量进行比较。结果实施正念认知疗法干预后,干预组的焦虑、抑郁发生率分别为12.8%(6/47)和14.9%(7/47),均显著低于对照组的30.6%(15/49)和32.7%(16/49),差异均有统计学意义(χ^(2)=3.80、3.89,均P<0.05);干预后干预组五因素正念量表简明版的观察、描述、觉知行动维度得分分别为(23.8±6.5)、(28.6±5.4)、(31.3±5.3)分,均显著高于对照组的(20.0±5.1)、(23.7±5.5)、(26.9±6.2)分,差异均有统计学意义(t=2.79、3.59、3.21,均P<0.05);干预后欧洲癌症研究与治疗组织生命质量测定量表中的情绪功能维度(94.3±7.4)分,显著高于对照组的(88.8±11.4)分,差异有统计学意义(t=-2.28,P<0.05)。结论正念认知疗法对缓解恶性肿瘤放疗患者的焦虑抑郁情绪,提高正念觉知能力,改善情绪困扰等方面具有良好的效果,可将正念认知疗法纳入到恶性肿瘤放疗患者日常心理护理流程中,给予患者适当的疏导和支持,以利于改善患者心理及生命质量。
Objective To explore the effectiveness of positive cognitive therapy in improving anxiety and depression,psychological distress,positive awareness,and quality of life in cancer patients,with a view to providing an experience for practical clinical application.Methods This study was a quasi experimental study,in which 96 patients with cancer radiotherapy attending Shanghai Proton Heavy Ion Center from April 2019 to January 2021 were selected as study subjects by convenience sampling,and were divided into 47 cases in the intervention group and 49 cases in the control group according to the district group randomization method.The control group was given conventional psychological care and health education,and instructed to learn the audio and video of positive cognitive therapy at the end of the study;the intervention group was given 8 sessions of positive cognitive therapy over a period of 4 weeks.At the end of the intervention,the Pdistress Thermometer,the Generalized Anxiety Inventory,the Patient Health Questionnaire Depression Inventory,the Brief Version of the Five Factor Positive Thinking Inventory,and the European Organization for Research and Treatment of Cancer,Quality of Life Questionnaire C30 were used to compare the psychological distress,anxiety and depression,positive cognitive awareness and quality of life of the two groups.Results After the implementation of the positive cognitive therapy intervention,the incidence rate of anxiety and depression in the intervention group was 12.8%(6/47)and 14.9%(7/47),respectively,both of which were significantly lower than the 30.6%(15/49)and 32.7%(16/49)in the control group,with statistically significant differences(χ^(2)=3.80,3.89,both P<0.05);after intervention the scores on the observation,description and perceived action dimensions of the Brief Version of the Five Factor Positive Thinking Scale were(23.8±6.5),(28.6±5.4)and(31.3±5.3)respectively,all significantly higher than those of the control group(20.0±5.1),(23.7±5.5)and(26.9±6.2),the differences were
作者
朱毓
张丽娟
张志红
王子迎
万宏伟
Zhu Yu;Zhang Lijuan;Zhang Zhihong;Wang Ziying;Wan Hongwei(Department of Nursing,Shanghai Proton and Heavy Ion Center,Shanghai Key Laboratory of radiation oncology(20dz2261000),Shanghai Engineering Research Center of Proton and Heavy Ion Radiation Therapy,Shanghai 201321,China;Department of Radiotherapy,Shanghai Proton and Heavy Ion Center,Shanghai Key Laboratory of radiation oncology(20dz2261000),Shanghai Engineering Research Center of Proton and Heavy Ion Radiation Therapy,Shanghai 201321,China)
出处
《中国实用护理杂志》
2023年第24期1873-1880,共8页
Chinese Journal of Practical Nursing
基金
上海市浦东新区科技发展基金项目(PKJ2020-Y57)
上海市申康项目(SHDC12022620)
复旦大学-复星护理科研基金(FNF202129)。
关键词
肿瘤
焦虑
抑郁
心理困扰
正念认知疗法
Neoplasms
Anxiety
Depression
Psychological distress
Mindfulness-based cognitive therapy
