摘要
目的探讨“互联网+正念认知疗法”在乳腺癌康复期患者中的应用效果。方法选取本院2019年7—12月自愿参加本研究的乳腺癌患者40例,采用便利取样分为试验组和对照组各20例。对照组接受常规护理及出院随访;试验组采用除常规护理及出院随访外,参与网络的连续8周正念认知团体疗法。比较两组患者焦虑、抑郁水平、睡眠质量及生存质量的差异。结果实验组患者焦虑、抑郁水平明显降低,P<0.05;试验组患者睡眠质量、睡眠时间、入睡时间、睡眠效率及催眠药物评分均低于对照组,P<0.01;试验组患者生理状况、社会/家庭状况、情感状况、功能状况及附加关注评分均高于对照组,P<0.01。结论“互联网+正念认知疗法”可显著降低乳腺癌康复期患者的焦虑、抑郁水平,改善患者的睡眠质量,增加患者战胜疾病的信心,最终提高患者的生存质量。
Objective To explore the application effect of“Internet plus mindfulness based cognitive therapy”in patients recovering from breast cancer.Methods 40 breast cancer patients who volunteered to participate in the study from July to December 2019 in our hospital were selected and divided into experimental group and control group by using convenient sampling,20 cases in each group.The control group received routine nursing and discharge follow-up,and the experimental group participated in the network for eight consecutive weeks in mindfulness based cognitive therapy group,in addition to routine nursing and discharge follow-up.The differences in anxiety,depression level,sleep quality and quality of life were compared between the two groups.Results The levels of anxiety and depression decreased significantly in the experimental group,P<0.05.The sleep quality,sleep time,sleep latency,sleep efficiency and hypnotic drug scores of experimental group were lower than those of the control group,P<0.01.The physiological status,social/family status,emotional status,functional status and additional attention scores of the experimental group were higher than those of the control group,P<0.01.Conclusion“Internet plus mindfulness based cognitive therapy”can significantly reduce the level of anxiety and depression in breast cancer rehabilitation patients,improve the quality of sleep and the patient’s confidence in overcoming the disease,and ultimately improve the quality of life of patients.
作者
余纯
张娟
潘桂晴
刘入瑶
吴晓琴
蒋全菊
马天蓉
YU Chun;ZHANG Juan;PAN Guiqing;LIU Ruyao;WU Xiaoqin;JIANG Quanju;MA Tianrong(Sichuan Academy of Medical Sciences,Sichuan Provincial people’s Hospital,Chengdu 610072,China)
基金
四川省卫生健康委员会科研资助项目(编号:19PJ271)。
关键词
互联网+
正念认知疗法
乳腺癌
康复护理
应用研究
Internet plus
mindfulness based cognitive therapy
breast cancer
rehabilitation nursing
applied research
