摘要
目的探讨短期冥想对住院直肠癌术后结肠造口患者希望水平和应对方式的影响。方法选取2014年1月—2015年6月河南省肿瘤医院收治的41例住院直肠癌术后结肠造口患者为对照组，给予常规心理干预，选取2015年7月—2017年1月收治的41例住院直肠癌术后结肠造口患者为观察组，在常规心理干预的基础上连续5 d实施短期冥想干预。比较两组患者干预前后SAS、SDS、希望水平、应对方式评分的差异。结果干预前两组患者的SAS、SDS、希望水平、应对方式评分差异均无统计学意义（P〉0.05）。干预后两组患者的SAS、SDS、希望水平、应对方式评分较干预前均改善；且观察组患者的SAS、SDS评分低于对照组，观察组希望水平的对现实与未来的积极态度、采取的积极行动、与他人保持亲密的关系3个子量表评分均高于对照组，观察组应对方式中的回避、屈服评分低于对照组，面对评分高于对照组，差异均有统计学意义（P〈0.05）。结论常规心理辅导联合短期冥想能够改善住院直肠癌术后结肠造口患者的焦虑、抑郁情绪，提高应对能力和希望水平，可以在临床上进一步推广和使用。
ObjectiveTo explore the influence of short-term meditation on hospitalized colostomy patients＇ hope level and coping method after rectal cancer surgery.MethodsA total of 41 hospitalized colostomy patients after rectal cancer surgery treated in He＇nan Cancer Hospital from January 2014 to June 2015 were selected as control group and were given routine psychological intervention; another 41 hospitalized colostomy patients after rectal cancer surgery treated in this hospital from July 2015 to January 2017 were selected as observation group and were intervened by, besides routine psychological intervention, a continuous five-day short-term meditation. Scores in SAS, SDS, hope level and coping methods were compared between patients in the two groups before and after the intervention.Results
Before the intervention, differences in scores of patients in the two groups in SAS, SDS, hope level and coping method showed no statistical significance （P〉0.05） . After the intervention, scores in SAS, SDS, hope level and coping methods of patients in the two groups were all better than before. SAS and SDS scores of patients in the observation group were lower than those in the control group （P〈0.05） . In the three sub-scales of hope level, positive attitude towards reality and future, positive actions adopted and keeping a close relationship with others, scores of patients in the observation group were all higher than those in the control group （P〈0.05） . Concerning coping method, scores of avoidance and surrender in the observation group were lower than the control group, while score of confronting in the observation group was higher than that in the control group （P〈0.05） .ConclusionsCombination of routine psychological guidance and short-term meditation can relieve anxiety and depression of hospitalized colostomy patients＇ after rectal cancer surgery and help improve their coping ability and hope level, which makes it worth promoting in clinic further.
出处
《中华现代护理杂志》
2017年第34期4365-4368,共4页
Chinese Journal of Modern Nursing
基金
河南省科技攻关计划项目（162102310046）
作者简介
通信作者：邱英，Email：qiuying91@126．com
