摘要
目的:研究正念减压对肝癌肝动脉化疗栓塞术(transcatheter arterial chemoembolization,TACE)术后知觉压力与心理状态的影响。方法:选择我院2015年5月至2017年4月期间收治的98例行TACE术患者作为本文研究对象,患者随机分为观察组和对照组,各49例。对照组患者接受常规模式干预,观察组在对照组的基础上辅以正念减压干预。评估比较干预前及干预后的知觉压力、心理状态与患者满意度等一系列指标。结果:干预后观察组PSS评分明显低于对照组(t=-7.942,P<0.001);干预后观察组HAMD评分、HAMA评分显著低于对照组(t=-14.085,-7.955,P<0.001);干预后观察组对环境、爱护与关心、技术与服务的满意度评分均显著高于对照组(t=5.529,5.794,9.791,P<0.05)。结论:肝癌TACE患者术后采取正念减压干预,能够有效改善患者的术后知觉压力,优化患者心理状态,提高患者满意程度。
Objective:To explore the effect of mindfulness-based stress reduction on perceived stress and psychological state in patients with liver cancer patients underwent transcatheter arterial chemoembolization.Methods:A total of 98 cases of patients with liver cancer patients underwent transcatheter arterial chemoembolization from May 2015 to April 2017 in our hospital were selected as the research object;All of them were randomly divided into control group and observation group.The control group(49 cases)received conventional nursing,the observation group(49 cases)received the mindfulness-based stress reduction therapy on the basis of the control group.The perceived stress,Hamilton Depression Scale(HAMD)score,and Hamilton Anxiety Scale(HAMA)score before and after intervention between the two groups were compared and analyzed.Results:The CPSS score in the observation group was significantly lower than that in the control group(t=-7.942,P<0.001);After intervention,the HAMD and HAMA scores of the observation group were significantly better than those in the control group(t=-14.085,-7.955;P<0.001).The satisfaction scores of on environment(t=5.529,P<0.05),care and relationship(t=5.794,P<0.05),technology and nursing service(t=9.791,P<0.05)in the observation group were significantly higher than those in the control group.Conclusion:The implementation of mindfulness-based stress reduction can effectively reduce the perceived stress for patients with liver cancer patients underwent transcatheter arterial chemoembolization and improve the patient’s quality of life and satisfaction to nursing.
作者
高春辉
卢沛
张璐
袁举
GAO Chunhui;LU Pei;ZHANG Lu(Department of Endocrinology,The People’s Hospital of Henan Province,Zhengzhou 450003,China)
出处
《中国健康心理学杂志》
2020年第3期348-351,共4页
China Journal of Health Psychology
基金
2017河南省医学科技攻关计划项目(编号:201702143).
关键词
正念减压
肝癌肝动脉化疗栓塞术
知觉压力
心理状态
Mindfulness-based stress reduction
Transcatheter arterial chemoembolization
Perceived stress
Psychological state
