摘要
目的:观察正念减压对宫颈癌患者心理弹性的影响。方法:采用简单随机抽样法将90例入组患者随机分为对照组和观察组,每组45例;对照组给予常规健康教育及心理护理,观察组在对照组基础上实施为期8周的正念减压疗法;分别于干预前后行压力知觉量表中文版(CPSS)、焦虑自评量表(SAS)、抑郁自评量表(SAS)、Piper修订疲乏量表(PFS-R)、匹兹堡睡眠质量指数(PSQI)等量表评分。结果:干预后,对照组CPSS、SAS、SDS评分与干预前比较差异均无统计学意义(P>0.05),观察组CPSS、SAS、SDS评分较干预前均明显降低(t=8.808,8.459,9.361;P<0.01);两组干预后CPSS、SAS、SDS评分比较差异有统计学意义(t=-8.740,-8.662,-7.217;P<0.01)。干预后,对照组PFS-R、PSQI评分与干预前比较差异无统计学意义(P>0.05),观察组PFS-R、PSQI评分较干预前明显降低(t=9.436,9.971;P<0.01),且显著低于对照组(t=-7.565,-8.808;P<0.01)。结论:正念减压能够改善宫颈癌患者心理弹性,对减轻患者癌因性疲乏、提高患者睡眠质量有着重要意义。
Objective:To observe the effect of mindfulness-based stress reduction(MBSR)on the resilience of patients with cervical cancer.Methods:A total of 90 patients were randomly divided into the control group and the observation group,45 cases in each group.The control group were given routine health education and psychological nursing.On the basis,the observation group were given 8 weeks of MBSR.Scores of Chinese Version Perceived Stress Scale(CPSS),Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SAS),the Piper Fatigue Scale-Revised(PFS-R)and Pittsburgh Sleep Quality Index(PSQI)were recorded before and after the intervention.Results:There was no significant difference in CPSS score,SAS score and SDS score of the control group before and after the intervention(P>0.05).After the intervention,the CPSS score,SAS score and SDS score were significantly decreased in the observation group(t=-8.025,-7.641,-8.557;P<0.01),without significant difference between the two groups(t=-8.797,-5.699,-8.083;P<0.01).There was no significant difference in PFS-R score and PSQI score of the control group before and after the intervention(P>0.05).After the intervention,the PFS-R score and PSQI score were significantly decreased in the observation group(t=-7.932,-8.143;P<0.01),and they were significantly lower than those of the control group(t=-7.327,-7.399;P<0.01).Conclusion:MBSR can improve the resilience of patients with cervical cancer,which is of great significance in alleviating cancer-related fatigue and improving the sleep quality of patients.
作者
吴群
张先群
WU Qun;ZHANG Xianqun(Dawning Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
出处
《中国健康心理学杂志》
2019年第9期1377-1382,共6页
China Journal of Health Psychology
基金
上海市自然科学基金资助项目(编号:16ZR1432502)
关键词
宫颈癌
心理弹性
正念减压
免疫功能
生活质量
Cervical cancer
Resilience
Mindfulness-based stress reduction
Immune function
Quality of life
作者简介
张先群,E-mail:476427574@qq.com
