METHODS: A total of 60 patients with NSCLC who had not received surgical treatment were selected using convenience sampling and divided into an intervention group and control group, with 30 patients in each group. The control group received conventional psychological nursing care, whereas the intervention group received a combination of MBwSR and exercise therapy. Before the intervention, a questionnaire was completed to collect the basic data of the two groups. Further questionnaires were administered at 6 and 8 weeks after treatment to assess anxiety, depression, sleep quality and other items included in the five-item Brief Symptom Rating Scale (BSRS-5).
RESULTS: No significant differences between the intervention and control groups were identified in terms of personal and clinical characteristics (p > 0.05). No significant differences were determined in the BSRS-5, Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS) or Pittsburgh Sleep Quality Index (PSQI) scores between the intervention and control groups before the intervention. However, 6 and 8 weeks after the intervention, scores were significantly lower in both groups (p < 0.001). Significant differences in the BSRS-5, SAS, SDS and PSQI scores were identified between the two groups at different time points (p < 0.001).
CONCLUSIONS: The combination of MBSR and exercise intervention demonstrated improvements in anxiety, depression, sleep quality and BSRS-5 scores in patients with NSCLC.
方法:采用方便抽样的方法选择60例未接受手术治疗的非小细胞肺癌患者,分为干预组和对照组。每组30名患者。对照组给予常规心理护理,而干预组接受MBwSR和运动疗法的组合。在干预之前,完成问卷收集两组的基本资料.在治疗后6周和8周进行进一步的问卷调查,以评估焦虑,抑郁症,睡眠质量和其他项目包括在五项简短症状评定量表(BSRS-5)中。
结果:在个人和临床特征方面,干预组和对照组之间没有显着差异(p>0.05)。在BSRS-5、焦虑自评量表(SAS)、干预前干预组与对照组之间的抑郁自评量表(SDS)或匹兹堡睡眠质量指数(PSQI)评分。然而,干预后6周和8周,两组评分均显著降低(p<0.001).BSRS-5、SAS、在不同时间点,在两组之间鉴定SDS和PSQI评分(p<0.001)。
结论:MBSR和运动干预的结合证明了焦虑的改善,抑郁症,非小细胞肺癌患者的睡眠质量和BSRS-5评分。