正念减压疗法对老年丧偶肺癌化疗患者癌因性疲乏和心理健康状况的影响

目的:探讨基于正念减压疗法的护理干预对老年丧偶肺癌化疗患者癌因性疲乏(cancer-related fatigue,CRF)以及心理健康状况的影响。方法:选取青海省第五人民医院肿瘤内科2017年6月至2019年3月114例老年丧偶肺癌化疗患者,随机数表法分为对照组和干预组,每组57例。对照组给予常规肿瘤内科化疗护理,干预组在对照组基础上,给予以正念减压疗法为基础的护理干预,采用Piper疲乏修订量表(Revised Piper Fatigue Scale,RPFS)、汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)、汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)和欧洲癌症研究生存质量核心问卷(European Core Questionnaire on Quality of Life,EORTC QLQ-C30)等工具比较两组护理干预的效果。结果:干预组干预8周后RPFS量表4个维度评分及总评分、HAMD评分、HAMA评分均低于干预前,与对照组干预后比较亦显著降低,差异均有统计学意义(P<0.05)。干预组干预后QLQ-C30量表5个维度及总评分较干预前提高,差异有统计学意义(P<0.05);与对照组干预后比较,差异亦有统计学意义(P<0.05);对照组干预前后比较,RPFS评分、HAMD评分、HAMA评分和QLQ-C30评分比较,差异均无统计学意义(P>0.05)。结论:正念减压疗法能降低老年丧偶肺癌化疗患者的癌因性疲乏程度,改善心理健康状况和提高预后生存质量。

Effect of mindfulness decompression therapy on cancer-related fatigue and mental health of elderly widowed lung cancer patients with chemotherapy

Objective:To explore the effect of nursing intervention based on mindfulness decompression therapy on cancerrelated fatigue(CRF)and mental health of elderly widowed patients with lung cancer undergoing chemotherapy.Methods:From June 2017 to March 2019,114 elderly widowed patients with lung cancer undergoing chemotherapy were randomly divided into a control group and an intervention group,57 cases in each group.The control group was given routine medical cancer chemotherapy nursing,and the intervention group was given mindful decompression therapy-based nursing intervention on the basis of the control group.The Revised Piper Fatigue Scale(RPFS),Hamilton depression scale(HAMD),Hamilton anxiety scale(HAMA)and European core questionnaire on quality of life(EORTC)were used in the intervention group.QLQ-C30 and other tools were used to compare the effect of nursing intervention between the two groups.Results:After 8 weeks of intervention,the four dimensions and total scores of RPFS scale,HAMD score and HAMA score in intervention group were lower than those before intervention,and also significantly lower than those in control group(P<0.05).After intervention,the five dimensions and total scores of QLQ-C30 scale in intervention group were higher than those before intervention(P<0.05),and there were significant differences between intervention group and control group(P<0.05).There were no statistical differences in RPFS score,HAMD score,HAMA score and QLQ-C30 score before and after intervention in control group.Learning significance(P>0.05).Conclusion:Mindfulness decompression therapy can reduce cancer-related fatigue in elderly widowed patients with lung cancer undergoing chemotherapy,improve their mental health and quality of life.