摘要
目的探讨基于正念疗法的整合式心理干预对结直肠癌术后辅助化疗患者的应用效果。方法选取2019年1月至2021年4月六安市第二人民医院收治的82例结直肠癌术后辅助化疗患者为研究对象,采用随机数字表法将其分为观察组(41例)和对照组(41例),对照组患者实施结直肠癌术后辅助化疗的常规临床干预,观察组患者在此基础上联合应用基于正念疗法的整合式心理干预。比较两组患者干预前和干预后2个月的负面情绪、希望水平与生存质量,以及临床满意度调查结果。结果两组患者干预后汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)、汉密尔顿抑郁量表(Hamilton depression scale,HAMD)评分均显著低于本组干预前(均P<0.05),Herth希望量表(Herth hope index,HHI)、世界卫生组织生存质量测定量表简表(World Health Organization quality of life-BREF,WHOQOL-BREF)各维度评分与总分均显著高于本组干预前(均P<0.05)。观察组患者干预后HAMD、HAMA评分均显著低于对照组(均P<0.05),HHI、WHOQOL-BREF各维度评分与总分、临床总满意率均显著高于对照组(均P<0.05)。结论基于正念疗法的整合式心理干预能显著缓解结直肠癌术后辅助化疗患者的焦虑、抑郁情绪,提高希望水平、生存质量与临床满意度。
Objective To investigate the effect of integrated psychological intervention based on mindfulness therapy for colorectal cancer patients with postoperative adjuvant chemotherapy.Method Eighty-two patients with postoperative adjuvant chemotherapy for colorectal cancer treated in Lu'an Second People's Hospital from January 2019 to April 2021 were enrolled for the research,and they were randomly divided into observation group(41 cases)and control group(41 cases)according to the random number table method.Patients in control group received routine clinical intervention of postoperative adjuvant chemotherapy for colorectal cancer,while patients in observation group received mindfulness therapy on this basis.The negative emotions,hope level,quality of life before and 2 months after intervention and clinical satisfaction were compared between the two groups.Result The scores of Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)after intervention in the two groups were significantly lower than those before intervention(all P<0.05),and the Herth hope index(HHI)score,scores of all dimensions and total score of World Health Organization quality of life-BREF(WHOQOL-BREF)in the two groups were significantly higher than those before intervention(all P<0.05).The scores of HAMA and HAMD after intervention in observation group were significantly lower than those in control group(all P<0.05),and the HHI score,scores of all dimensions and total score of WHOQOL-BREF and total clinical satisfaction rate were signi ficantly higher than those in control group(all P<0.05).Conclusion Mental awareness exercise can significantly alleviate the anxiety and depression of postoperative adjuvant chemotherapy for colorectal cancer,and improve the hope level,quality of life and clinical satisfaction.
作者
黄世涯
张庆
高婷婷
Huang Shiya;Zhang Qing;Gao Tingting(Department of the Third Surgery,Lu'an Second People's Hospital,Anhui,Lu'an 237000,China)
出处
《肿瘤综合治疗电子杂志》
2022年第3期93-97,共5页
Journal of Multidisciplinary Cancer Management(Electronic Version)
关键词
正念疗法
结直肠癌
化疗
负面情绪
希望水平
生存质量
Mindfulness therapy
Colorectal cancer
Chemotherapy
Negative emotions
Hope level
Quality of life
