摘要
目的探讨正念减压训练对喉癌患者癌因性疲乏及生活质量的影响,以期为制定相关措施、改善喉癌患者的生活质量提供现实依据。方法 2016年3月至2017年3月,在某三级甲等肿瘤医院头颈外科招募接受手术治疗的喉癌患者65例为研究对象,按不同病区将其为观察组(n=32)和对照组(n=33)。对照组患者实施常规护理,而观察组患者在对照组的基础上实施正念减压训练。干预时间为6周。干预前后,采用Piper疲乏修订量表(the revised-Piper fatigue scale,RPFS)及癌症患者生存质量核心量表(quality of life questionnaire-core 30,QLQ-C30)对两组患者进行癌因性疲乏水平及生活质量水平的评估。结果干预前,观察组患者RPFS评分、QLQ-C30总分,与对照组相比,差异均有统计学意义(均P<0.05);干预后,观察组患者RPFS评分、QLQ-C30总分,均优于对照组,差异均有统计学意义(均P<0.05);且RPFS、QLQ-C30量表各维度得分明显优于对照组,差异均有统计学意义(均P<0.05)。结论正念减压训练能改善喉癌患者癌因性疲乏水平,促进患者的生活质量的提高。
Objective To explore the influence of mindfulness-based stress reduction training on cancer-related fatigue and quality of life in laryngeal carcinoma patients,in order to provide the reference for improving the patients’ quality of life.Methods From March 2016 to March 2017,totally 68 laryngeal carcinoma patients from the tertiary cancer hospital were selected and assigned into the control group(33 cases) and the experimental group(32 cases).The experimental group were treated mindfulness-based stress reduction training, while the control group received the routine nursing care.The intervention time was 6 weeks.Before and after the intervention,the revised-Piper fatigue scale(RPFS) and the Quality of Life Questionnaire-Core 30(QLQ-C30) were used to evaluate the level of cancer-related fatigue and quality of life in the two groups.Results Before intervention,the RPFS score and QLQ-C30 score in the experimental group were significantly different from those in the control group(all P<0.05).After intervention,the RPFS score and QLQ-C30 score of the experimental group were better than those of the control group,and the difference was statistically significant(all P<0.05).The scores of RPFS and QLQ-C30 of the experimental group were significantly better than those of the control group(all P<0.05).Conclusions Mindfulness-based stress reduction training can effectively improve the laryngeal carcinoma patients’ cancer-related fatigue,thus improves the quality of life.
作者
佟蕾
崔晓薇
李春媛
TONG Lei;CUI Xiaowei;LI Chenyuan(Department of Head and Neck Surgery,Cancer hospital Affiliated to Harbin medical university,Haerbin 150083,Heilongjiang Province,China)
出处
《解放军护理杂志》
CSCD
北大核心
2019年第2期61-64,共4页
Nursing Journal of Chinese People's Liberation Army
关键词
喉癌
正念减压训练
癌因性疲乏
生活质量
laryngeal carcinoma
mindfulness-based stress reduction training
cancer-related fatigue
quality of life
