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正念减压疗法对年轻女性癌症患者生育忧虑及复发恐惧的影响 被引量:39

Effect of mindfulness-based stress reduction on reproductive concerns and fear of cancer recurrence for young female cancer patients
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摘要 目的探索正念减压疗法对年轻女性癌症患者生育忧虑、复发恐惧的效果。方法将72例年轻女性癌症患者分为试验组和对照组,每组各36例。两组均进行常规护理,试验组接受6周的正念减压疗法,在干预前后及干预后3个月,均采用癌症后生育忧虑量表、疾病恐惧进展量表对两组的生育忧虑、复发恐惧进行测量。结果 6周正念减压干预后,两组的配偶知情、接受度、怀孕能力、自身健康、子女健康维度得分及生育忧虑总得分的组间效应差异有统计学意义(P<0.05);两组生育忧虑各维度得分及生育忧虑总分时间效应差异有统计学意义(P<0.05);两组的复发恐惧各维度得分及复发恐惧总分的组间效应、时间效应差异具有统计学意义(P<0.05);结论正念减压疗法能有效减轻年轻女性癌症患者生育忧虑、复发恐惧的心理。 Objective To evaluate the effects of mindfulness-based stress reduction on reproductive concerns and fear of cancer recurrence for young female cancer patients.Methods A total of 72 young female cancer patients were assigned to the intervention group and the control group with 36 cases in each group.Both groups received routine care,and the intervention group also received 6 weeks of MBSR.The Reproductive Concerns After Cancer Scale(RCAC)and The Fear of Progression Questionnaire-Short Form(FoP-Q-SF)were used to assess reproductive concerns and fear of cancer recurrence in two groups before the intervention(T1),after the intervention(T2)and 3 months after the intervention(T3).Results There were significant differences in spouse awareness,acceptance,pregnancy ability,own health,children health and total reproductive concerns scores between the two groups(P<0.05).The time effect on reproductive concerns of the various dimensions scores and total reproductive concerns scores was significant(P<0.05).There were significant differences in all dimensions of the Fear of Progression Questionnaire-Short Form and total fear of cancer recurrence scores between two groups and the time effect(P<0.05).Conclusion MBSR can effectively relieve reproductive concerns and fear of cancer recurrence for young female cancer patients.
作者 王丹丹 郑蔚 侯守超 史艳萍 张苇 王海莉 WANG Dan-dan;ZHENG Wei;HOU Shou-chao;SHI Yan-ping;ZHANG Wei;WANG Hai-li(The Second Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan 450014,China)
出处 《现代预防医学》 CAS 北大核心 2019年第15期2753-2756,2770,共5页 Modern Preventive Medicine
基金 2017年度河南省科技攻关省部共建项目(201701014) 2017年度河南省科技攻关项目(172102310088)
关键词 女性 癌症 正念减压疗法 生育忧虑 复发恐惧 Female Cancer Mindfulness-based stress reduction Reproductive concerns Fear of cancer recurrence
作者简介 王丹丹(1992-),女,在读硕士,研究方向:肿瘤康复;通讯作者:郑蔚,E-mail:zw112689zy@sina.com.
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