目的:探讨正念减压(MBSR)训练对喉癌术后患者负性情绪及社会功能的影响。
方法:选取2017年1月至2019年12月我院收治的喉癌患者65例,根据患者意愿分为观察组33例和对照组32例。对照组给予常规干预,观察组在对照组的基础上进行正念减压训练。干预8周后对两组患者进行评价。研究工具包括焦虑自评量表(SAS)、抑郁自评量表(SDS),匹兹堡睡眠质量指数(PSQI)社会残疾筛查计划(SDSS),社会支持评定量表(SSRS),和欧洲癌症研究和治疗组织的生活质量问卷(QLQ-C30),所有评分均用于验证上述量表.通过每个量表的干预后和干预前得分之间的差异来评估MBSR的效果。均数比较采用T检验,速率比较采用Pearson检验χ2检验。
方法:患者在喉恶性肿瘤的手术治疗过程中会产生负面情绪(文献1),这将影响他们的心理健康(文献2、3、4、5、6、7)。正念减压训练(文献10、11)可减轻恶性肿瘤患者的抑郁和焦虑(文献14、15)。根据纳入标准和排除标准(文献16和17),本研究选取两组患者,并使用包括SAS在内的研究工具获得分数(文献19),SDS(文献20),PSQI(文献21),SDSS(文献22)和QLQ-C30(文献24和25)。通过干预前后各量表评分的差异评价MBSR的效果。
结果:干预后,两组SAS、SDS评分均低于同组治疗前(P<0.05),两组PSQI评分均低于同组治疗前(P<0.05),两组SDSS评分均低于治疗前(P<0.05),两组患者QLQ-C30评分均高于干预前(P<0.05)。
结论:正念减压训练可以减轻喉癌患者的负面情绪,改善患者的睡眠质量。社会功能,和生活质量。值得临床推广应用。
OBJECTIVE: To explore the influence of mindfulness-based stress reduction (MBSR) training on the negative emotions and social functioning of patients with laryngeal cancer post-operation.
METHODS: Sixty-five patients with laryngeal cancer admitted to our hospital from January 2017 to December 2019 were selected and divided into an observation group of 33 cases and a control group of 32 cases according to the patient\'s wishes. The control group received routine intervention, while the observation group received mindfulness decompression training in addition to the control group. Both groups were evaluated after 8 weeks of intervention. The research tools included the self-rating anxiety scale (SAS), self-rating depression scale (SDS), Pittsburgh Sleep Quality Index (PSQI), Social Disability Screening Schedule (SDSS), Social Support Rating Scale (SSRS), and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (QLQ-C30), all of the scores of them were used to verify the foregoing scale. The effects of MBSR were evaluated by the differences between the post- and pre-intervention scores in each scale. T-test was used for mean comparison and Pearson test was used for rate comparison χ2 inspection.
METHODS: Patients will have negative emotions during the surgical treatment of laryngeal malignancies (Literature 1), which will affect their mental health (literature 2, 3, 4, 5, 6, 7). Mindfulness decompression training (literature 10, 11) can reduce the depression and anxiety of patients with malignant tumors (literature 14, 15). According to the inclusion criteria and exclusion criteria (literature 16 and 17), two groups of patients were selected in this study, and the scores were obtained using research tools including SAS (literature 19), SDS (literature 20), PSQI (literature 21), SDSS (literature 22) and QLQ-C30 (literature 24 and 25). The effect of MBSR was evaluated by the difference before and after the intervention scores in each scale.
RESULTS: After the intervention, the scores of the SAS and SDS in the two groups were lower than before (P < 0.05), the PSQI score of the two groups was lower than before (P < 0.05), the SDSS score of the two groups was lower than before (P < 0.05), and the scores of the QLQ-C30 in the two groups were higher than before intervention (P < 0.05).
CONCLUSIONS: Mindfulness-based stress reduction training can reduce the negative emotions of patients with laryngeal cancer and improve their quality of sleep, social functioning, and quality of life. It is worthy of clinical application.