正念减压训练对乳腺癌患者配偶照顾负担、焦虑和抑郁情绪影响的研究

发布时间：2018-04-03 19:27

本文选题：正念减压训练　切入点：乳腺癌　出处：《锦州医科大学》2017年硕士论文

【摘要】：目的了解乳腺癌患者配偶照顾负担、焦虑情绪和抑郁情绪的现状,并对其进行为期8周的正念减压训练,评估正念减压训练对乳腺癌患者配偶照顾负担、焦虑情绪和抑郁情绪的影响。同时探索照顾负担的中介作用,进一步揭示正念减压训练的作用机制。方法将100例乳腺癌患者配偶作为研究对象,并按照入院顺序将其进行分组,分为干预组和对照组各50例。最终91人完成本研究(对照组46例、干预组45例)。两组进行常规护理,干预组在此基础上每周接受1次正念减压训练,共8周。两组干预前后均采用自制一般资料调查表、照顾者负担量表、汉密顿焦虑量表和Beck抑郁问卷收集乳腺癌患者的病理学资料、其配偶的人口学资料,同时检测正念减压训练对配偶照顾负担、焦虑情绪和抑郁情绪的干预效果。应用SPSS 21.0录入数据,采用χ2检验、Fisher精确检验和t检验进行统计分析。采用回归分析法探讨照顾负担的中介作用。结果干预组干预前后照顾负担得分、焦虑得分、抑郁得分均有统计学意义[(25.98±6.00)vs(22.31±5.76),(17.93±4.65)vs(14.98±4.75),(11.87±3.51)vs(8.47±3.21),P0.001]。而对照组照顾负担、焦虑、抑郁情况均无显著改善(均P0.05)。干预组照顾负担、焦虑、抑郁得分差值均明显高于对照组照顾负担、焦虑、抑郁得分差值(t=-11.21,P0.001;t=-7.99,P0.001;t=-7.29,P0.001)。正念减压训练可以预测抑郁情绪得分差值(β=-0.615,P0.001,R2=0.378);正念减压训练可以预测照顾负担得分差值(β=-0.763,P0.001,R2=0.582);照顾负担可以预测抑郁情绪得分差值(β=-0.452,P0.001,R2=0.464)。因此,照顾负担在正念减压训练和抑郁情绪间起到中介作用。结论1.正念减压训练能有效帮助乳腺癌患者配偶减轻照顾负担、缓解焦虑和抑郁情绪,改善其心理健康。2.照顾负担在正念减压训练和抑郁情绪之间起到了中介效应,但在正念减压训练和焦虑情绪间无中介作用。3.医护人员应该对乳腺癌患者配偶这一人群给予重视,并对此类人群进行心理干预,改善其心理健康。
[Abstract]:Objective to investigate the current status of care burden, anxiety and depression in spouses of breast cancer patients, and to evaluate the burden of mental stress training on spouses of breast cancer patients after 8 weeks of mindfulness decompression training.The effects of anxiety and depression.At the same time, the mediating role of caring burden was explored, and the mechanism of mindfulness decompression training was revealed.Methods 100 spouses of breast cancer patients were divided into intervention group (n = 50) and control group (n = 50).Finally, 91 people completed the study (control group 46 cases, intervention group 45 cases).The intervention group received mindfulness decompression training once a week for 8 weeks.Before and after intervention, self-made general information questionnaire, carer burden scale, Hamilton anxiety scale and Beck depression questionnaire were used to collect pathological data of breast cancer patients and demographic data of their spouses.At the same time, the intervention effect of mindfulness stress reduction training on spouse care burden, anxiety and depression was tested.SPSS 21.0 data were inputted and 蠂 2 test was used for statistical analysis.Regression analysis was used to explore the intermediary role of care burden.Results the scores of care burden, anxiety and depression in the intervention group were significantly different before and after the intervention [25.98 卤6.00)vs(22.31 卤5.76 卤17.93 卤4.75 4.65)vs(14.98 卤11.87 卤3.21 卤P0.001].The burden of care, anxiety and depression in the control group were not significantly improved (P 0.05).Therefore, the burden of care plays an intermediary role between mindfulness stress reduction training and depression.Conclusion 1.Mindfulness decompression training can effectively help the spouse of breast cancer reduce the burden of care, relieve anxiety and depression, and improve their mental health.The burden of care plays a mediating effect between mindfulness stress stress training and depression, but there is no intermediary effect between mindfulness stress stress training and anxiety.Health care workers should pay attention to the spouse of breast cancer patients and take psychological intervention to improve their mental health.
【学位授予单位】：锦州医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.73

【相似文献】