正念减压疗法对乳腺癌患者化疗期间疲乏及睡眠质量的影响

发布时间：2019-01-15 07:47

【摘要】：目的探讨正念减压疗法对减轻化疗期间的乳腺癌患者的疲乏、失眠的效果。方法将郑州市1所三级甲等医院乳腺外科的96例正在接受化疗的乳腺癌患者分为实验组和对照组,每组各48例。两组均接受常规的护理,实验组接受8周正念减压疗法,在干预前、干预完成时及干预完成后3个月,采用疲乏修订量表、匹兹堡睡眠质量指数对两组的疲乏、睡眠质量进行评定。结果两组的感觉、行为、情绪维度得分及疲乏总得分的组间效应差异有统计学意义(P0.05);两组疲乏修订量表各维度得分及疲乏总分时间效应差异有统计学意义(P0.05);两组的感觉、情绪、行为维度得分以及疲乏总分的干预差异与时间因素存在交互作用(P0.05)。两组的睡眠质量、入睡时间、睡眠时间、睡眠效率、日间功能障碍得分及睡眠总分的组间效应差异有统计学意义(P0.05);两组的睡眠质量、入睡时间、睡眠时间得分及睡眠总分的时间效应差异有统计学意义(P0.05);两组的睡眠质量、睡眠时间、睡眠障碍、睡眠总分的干预与时间因素存在交互效应(P0.05)。结论正念减压疗法能有效缓解乳腺癌患者化疗期间的疲乏,改善其睡眠质量。
[Abstract]:Objective to investigate the effect of mindfulness decompression therapy on relieving fatigue and insomnia of breast cancer patients during chemotherapy. Methods 96 breast cancer patients in the Department of Breast surgery of Grade 3A Hospital in Zhengzhou were divided into experimental group (n = 48) and control group (n = 48). Both groups received routine nursing care. The experimental group received 8 weeks of mental decompression therapy. Before the intervention, at the time of the intervention and 3 months after the intervention, the fatigue revision scale and Pittsburgh Sleep quality Index were used in the two groups. Sleep quality was evaluated. Results there were significant differences in the effects of feeling, behavior, emotional dimension and total fatigue score between the two groups (P0.05). There were significant differences in the time effect between the two groups in the scores of each dimension and the total score of fatigue (P0.05). The intervention difference of feeling, emotion, behavioral dimension and total score of fatigue had interaction with time factors (P0.05). There were significant differences in sleep quality, sleep time, sleep efficiency, daytime dysfunction score and total sleep score between the two groups (P0.05). There were significant differences in sleep quality, sleep time, sleep time score and total sleep score between the two groups (P0.05). The intervention of sleep quality, sleep time, sleep disorder and total score of sleep had interaction with time factors (P0.05). Conclusion mindfulness decompression therapy can effectively relieve the fatigue and improve the sleep quality of breast cancer patients during chemotherapy.
【作者单位】：郑州大学第一附属医院肿瘤科;郑州大学第一附属医院精神医学科;
【基金】：河南省医学科技攻关计划项目(201503078)
【分类号】：R473.73

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