正念冥想训练联合盆底肌训练对早期宫颈癌患者术后的影响

目的探讨正念冥想训练联合盆底肌训练对早期宫颈癌患者术后性功能康复、焦虑及睡眠质量的影响。方法将128例早期宫颈癌患者按照随机数字表法分为对照组和观察组,每组各64例。对照组实施常规护理、健康教育、盆底肌训练。观察组在此基础上进行正念冥想训练。分别采用贝克焦虑量表(BAI)、匹兹堡睡眠质量指数(PSQI)评价干预前、干预后6个月两组患者的焦虑情绪和睡眠质量的改善情况,采用女性性功能量表(FSFI)评价干预前、干预后4个月、干预后6个月性功能康复情况。结果干预后6个月,观察组患者BAI得分和PSQI中主观睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物得分和总分均低于对照组;干预后4个月、干预后6个月,FSFI中性交痛评分明显低于对照组,其余维度评分及总分均明显高于对照组,差异均有统计学意义(P<0.05)。结论正念冥想训练有助于缓解宫颈癌患者术后焦虑情绪,改善睡眠质量,促进性功能康复,值得临床推广应用。

Effect of mindfulness meditation training combined with pelvic muscle training on sexual function rehabilitation,anxiety and sleep quality of patients with early stage cervical cancer after operation

Objective To explore the effect of mindfulness meditation training combined with pelvic muscle training on sexual function rehabilitation,anxiety and sleep quality of patients with early cervical cancer after operation.Methods A total of 128 patients with early stage cervical cancer were divided into control group and observation group by random number table method,64 cases in each group.The patients in control group received routine nursing,health education and pelvic muscle training.On this basis,the patients in observation group received mindfulness meditation training.Baker Anxiety Inventory(BAI),Pittsburgh Sleep Quality Index(PSQI)were used to evaluate the improvement of anxiety,sleep quality before and after intervention 6 months,and Female Sexual Function Inventory(FSFI)were used to evaluate the sexual function rehabilitation in the two groups before and after intervention 4 months and 6 months.Results After intervention 6 months,the scores of BAI,sleep quality,sleep latency,sleep time,sleep efficiency,sleep disorder,hypnotics and aggregate score of PSQI in observation group were lower than those in control group,and after intervention 4 and intervention 6 months,the score of sexual pain in FSFI was lower than that in control group,while the scores of other dimensions and total score were higher than those in control group,the differences were significant(P<0.05).Conclusion Mindfulness meditation training is helpful to alleviate anxiety,improve sleep quality and promote sexual function recovery in patients with cervical cancer after operation,and is worthy of clinical application.