收稿日期: 2019-11-25
网络出版日期: 2020-07-24
基金资助
2019年山西省研究生教育创新项目(2019SY276)
The mindfulness-based cancer recovery for patients with breast cancer during chemotherapy
目的 探讨对化疗期乳腺癌患者进行正念癌症康复干预的方法及效果。方法 便利选取2019年1月—7月2所综合性三级甲等医院乳腺外科的化疗期乳腺癌患者各43例,以抛硬币法将其随机分为试验组和对照组。试验组在常规护理的基础上进行为期8周的正念癌症康复,对照组接受常规护理。在干预前后用创伤后成长量表、五因素正念量表评价正念癌症康复干预的效果。结果 干预前,两组创伤后成长量表总分及各维度得分、五因素正念量表总分的差异无统计学意义(P>0.05);干预后,试验组创伤后成长量表总分及各维度得分、五因素正念量表总分及各维度得分均高于对照组(P<0.05)。结论 正念癌症康复可有效促进化疗期乳腺癌患者创伤后成长水平的提升,提高正念水平。
李文静 , 康凤英 , 田伟 , 曹文倩 . 化疗期乳腺癌患者的正念癌症康复干预研究[J]. 中华护理教育, 2020 , 17(7) : 653 -657 . DOI: 10.3761/j.issn.1672-9234.2020.07.017
Objective To explore the effects of mindfulness-based cancer recovery for patients with breast cancer during chemotherapy. Methods A total of 86 patients with breast cancer during chemotherapy in the Department of Breast Surgery of two general tertiary hospitals were selected by convenience sampling. These patients were randomly assigned to the experimental group or the control group by tossing a coin. Patients in the experimental group received eight-week mindfulness-based cancer recovery besides routine care while patients in the control group received routine care provided by hospitals. The Post-traumatic Growth Inventory(PTGI) and Five Facet Mindfulness Questionnaire(FFMQ) was used to evaluate the effects of mindfulness-based cancer recovery on patients.Results Before the intervention implementation,there were no statistically significant differences between the two groups in the score of PTGI and FFMQ(P>0.05). After the intervention implementation,the score of PTGI and FFMQ in the experimental group were higher than those in the control group(P<0.05).Conclusion Mindfulness-based cancer recovery can effectively promote post-traumatic growth of breast cancer patients during chemotherapy and improve their mindfulness level.
| [1] | Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018:GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2018,68(6):394-424. |
| [2] | Kwakkenbos L, Coyne JC, Thombs BD. Prevalence of posttraumatic stress di-sorder(PTSD) in women with breast cancer[J]. J Psychosom Res, 2014,76(6):485-486. |
| [3] | Warmoth K, Yeung NCY, Xie J, et al. Benefits of a psychosocial intervention on positive affect and posttraumatic growth for Chinese American breast cancer survivors:a pilot study[J]. Behav Med, 2020,46(1):34-42. |
| [4] | 曾秋霞, 刘蕾, 何海燕, 等. 国内外创伤后成长的临床干预研究进展[J]. 重庆医学, 2018,47(10):1380-1383,1386. |
| [5] | Carlson LE. Mindfulness-based cancer recovery:the development of an evidence-based psychosocial oncology intervention[J]. Oncol Exch, 2013,12(2):21-25. |
| [6] | 孙振球. 医学统计学[M]. 2版. 北京: 人民卫生出版社, 2008: 624. |
| [7] | Carlson LE, Speca M. 正念癌症康复[M]. 孙玉静,译. 北京: 机械工业出版社, 2016. |
| [8] | Tedeschi RG, Calhoun LG. The Posttraumatic Growth Inventory:measuring the positive legacy of trauma[J]. J Trauma Stress, 1996,9(3):455-471. |
| [9] | 董璐, 胡雁, 徐国会, 等. 中文版创伤后成长量表应用于乳腺癌患者的信效度分析[J]. 护理学杂志, 2013,28(22):21-23. |
| [10] | Deng YQ, Liu XH, Rodriguez MA, et al. The five facet mindfulness questionnaire:psychometric properties of the Chinese version[J]. Mindfulness, 2011,2(2):123-128. |
| [11] | 张伊, 黄琪, 安媛媛. 青少年正念对创伤后应激障碍和创伤后成长的影响[J]. 中国临床心理学杂志, 2019,27(1):172-176. |
| [12] | Carlson LE, Tamagawa R, Stephen J, et al. Randomized-controlled trial of mindfulness-based cancer recovery versus supportive expressive group therapy among distressed breast cancer survivors(MINDSET):long-term follow-up results[J]. Psychooncology, 2016,25(7):750-759. |
| [13] | Garland SN, Rouleau CR, Campbell T, et al. The comparative impact of mindfulness-based cancer recovery(MBCR)and cognitive behavior therapy for insomnia(CBT-I) on sleep and mindfulness in cancer patients[J]. Explore, 2015,11(6):445-454. |
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