摘要
目的:探讨理性情绪疗法联合正念冥想训练对子宫颈癌化疗患者的影响。方法:选取2021年1月—2022年2月福建医科大学附属龙岩第一医院收治的90例子宫颈癌化疗患者。根据随机数表法将其分为对照组和研究组,各45例。对照组给予常规护理,研究组在对照组基础上给予理性情绪疗法联合正念冥想训练。比较两组护理前后心理弹性、希望水平、睡眠质量、疲乏情况、疾病应对方式。结果:护理后,两组心理弹性量表(CD-RISC)、Herth希望指数量表(HHI)评分均提高,研究组CD-RISC评分、HHI评分均高于对照组,差异有统计学意义(P<0.05)。护理后,两组癌症疲乏量表(CFS)、匹兹堡睡眠质量指数量表(PSQI)评分均有所降低,研究组CFS评分、PSQI评分均低于对照组,差异有统计学意义(P<0.05)。护理后,两组积极应对评分有所提升,消极应对评分有所降低,研究组积极应对评分更高,消极应对评分更低,差异有统计学意义(P<0.05)。结论:理性情绪疗法联合正念冥想训练能够提高子宫颈癌化疗患者的心理弹性水平和希望水平,使患者积极应对疾病的治疗,进而提升患者的睡眠质量,减轻患者的疲乏程度。
Objective:To explore the effect of rational emotive therapy combined with mindfulness meditation training on cervical cancer patients undergoing chemotherapy.Method:A total of 90 cases of cervical cancer chemotherapy patients admitted to the First Affiliated Hospital of Longyan,Fujian Medical University from January 2021 to February 2022 were selected.According to the method of random number table,they were divided into control group and study group,45 cases in each group.The control group was given routine nursing,and the study group was given rational emotive therapy combined with mindfulness meditation training on the basis of the control group.Mental resilience,hope level,sleep quality,fatigue and disease coping styles were compared between the two groups before and after nursing.Result:After nursing,the scores of Connor-Davidson resilience scale(CD-RISC)and Herth hope index scale(HHI)were improved in both groups,and the scores of CD-RISC and HHI in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).After nursing,the scores of cancer fatigue scale(CFS)and Pittsburgh sleep quality index scale(PSQI)were decreased in both groups,and the scores of CFS and PSQI in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).After nursing,the positive coping score of the two groups increased,the negative coping score decreased,and the positive coping score of the study group was higher and the negative coping score was lower,the differences were statistically significant(P<0.05).Conclusion:Rational emotive therapy combined with mindfulness meditation training can improve the psychological resilience level and hope level of patients with cervical cancer undergoing chemotherapy,enable patients to actively deal with the treatment of the disease,and improve the sleep quality of patients,and reduce the degree of fatigue of patients.
作者
邓晓薛
DENG Xiaoxue(The First Affiliated Hospital of Longyan,Fujian Medical University,Longyan 364000,China)
出处
《中外医学研究》
2023年第27期99-103,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
子宫颈癌
理性情绪疗法
正念冥想
希望水平
睡眠质量
Cervical cancer
Rational emotive therapy
Mindfulness meditation
Hope level
Quality of sleep
