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短期正念训练在晚期肺癌患者护理中的作用

         

摘要

Objective To study the effect of short-term mindfulness behavior training on the nursing of patients with advanced carcinoma.Methods A total of 65 cases with advanced lung cancer in Xuzhou Central Hospital hospitalized from January to December 2015 were chosen. They were divided into the intervention group (n=34)and control group (n=31). The routine care was adopted in the control group,and mindfulness behavior training combined with routine care was adopted in the intervention group. Before and after the intervention, Karnofsky Performance Status Scale and Self-Rating Anxiety Scale (SAS )were used to assess the patients ' condition.Thesurvivalratewasfollowedupsixmonthslater.Results There were significant differences in the Karnofsky performance score and SAS score between two groups (69 . 90 ± 4 . 34 vs 61 . 20 ± 8 . 65 ,37 . 30 ± 7 . 14 vs45.90±6.28,respectively,P<0.05).Conclusion The mindfulness behavior training can improve the survival rate and alleviate the anxiety in the patients with advanced lung cancer.%目的 探讨短期正念行为训练在晚期肺癌患者护理中的作用.方法 选择2015年1—12月收治于徐州市中心医院肿瘤内科的晚期肺癌患者65例,随机分为观察组34例、对照组31例.对照组给予常规护理,观察组在此基础上加入正念训练.分别于入院时及出院时,采用Karnofsky功能状态量表和焦虑自评量表(self-rating anxiety scale,SAS)对患者状况进行评分比较.同时随访两组患者6个月后的生存率并比较.结果 经短期正念干预,观察组患者功能状态量表得分明显高于对照组(69.90±4.34 vs 61.20±8.65),差异有统计学意义(P<0.05);且SAS得分明显低于对照组(37.30±7.14 vs 45.90±6.28),差异有统计学意义(P<0.05).结论 在晚期肺癌患者中进行正念训练,有助于提高患者的生存功能状态,降低其焦虑状态.

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