摘要
目的 探讨正念减压训练对子宫内膜癌术后患者癌因性疲乏、心理状态及自我效能的影响。方法根据干预方法的不同将120例子宫内膜癌手术患者分为对照组和观察组,每组60例,对照组患者采取常规干预,观察组患者在对照组的基础上进行正念减压训练。比较两组患者的癌因性疲乏[Piper疲乏修订量表(RPFS)]、心理状态[汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)]、自我效能[癌症患者自我管理效能感量表(SUPPH)]及住院时间。结果 干预后,两组患者RPFS各维度评分均低于本组干预前,SUPPH各维度评分均高于本组干预前,观察组患者RPFS各维度评分均低于对照组,SUPPH各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者HAMD、HAMA评分均低于本组干预前,观察组患者HAMD、HAMA评分均低于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的住院时间短于对照组,差异有统计学意义(P﹤0.05)。结论 正念减压训练可改善子宫内膜癌术后患者的癌因性疲乏和心理状态,提高患者的自我效能,缩短患者的住院时间。
Objective To explore the effect of mindfulness decompression training on cancer-related fatigue,mental state and self-efficacy in patients with endometrial carcinoma after surgery.Method A total of 120 patients with endometrial carcinoma surgery were divided into control group and observation group according to different intervention methods,with 60 cases in each group.Patients in the control group received routine intervention,and patients in the observation group received mindfulness decompression training on the basis of the control group.The cancer-related fatigue [revised Piper fatigue scale(RPFS)],mental state [Hamilton depression scale(HAMD),Hamilton anxiety scale(HAMA)],self-efficacy [strategies used by people to promote health(SUPPH)] and length of hospital stay were compared between the two groups.Result After intervention,the dimensional scores of RPFS in both groups were lower than those before intervention,the dimensional scores of SUPPH were higher than those before intervention,the dimensional scores of RPFS in observation group were lower than those in control group,the dimensional scores of SUPPH were higher than those in control group,and the differences were statistically significant(P<0.05).After intervention,the HAMD and HAMA scores in both groups were lower than those before intervention,and the HAMD and HAMA scores in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).Conclusion Mindfulness decompression training can improve cancer-related fatigue and mental state of patients with endometrial carcinoma after surgery,improve patients' self-efficacy,and shorten the length of hospital stay.
作者
郭盼盼
贺曼
马晓
纪元元
GUO Panpan;HE Man;MA Xiao;JI Yuanyuan(Department of Gynecology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)
出处
《癌症进展》
2024年第11期1200-1203,共4页
Oncology Progress
关键词
正念减压训练
子宫内膜癌
癌因性疲乏
心理状态
自我效能
mindfulness decompression training
endometrial carcinoma
cancer-related fatigue
mental state
self-efficacy
