改良正念减压疗法在乳腺癌患者术后护理中的实践研究

doi:10.3761/j.issn.1672-9234.2019.06.006

Abstract

Abstract:

Objective To investigate the effects of mindfulness-based stress reduction（MBSR） on mindfulness level and quality of life in postoperative breast cancer patients. Methods The breast cancer patients who met the various inclusion criteria from January 2017 to September 2018 were recruited by convenience sampling and divided into the control group and the experimental group with 23 patients in each group. Patients in the control group received routine care while patients in the experimental group received MBSR. Seven weeks after the intervention,mindfulness level and quality of life of patients in both groups were compared. Results After the intervention,the levels of mindfulness of patients in the experimental group and the control group were（64.43±5.71）and（55.61±5.93）respectively. The mindfulness differences were statistically significant（P<0.05）. Quality of life in the experimental group was（96.48±5.83）while it was（84.83±4.82）for the control group,and the differences were also statistically significant（P<0.05）. Conclusion Revised MBSR can improve the level of mindfulness in breast cancer patients and improve their quality of life.

Key words: Breast Neoplasms, Psychology,Clinical, Quality of Life

Min QU,Xiao-xiang WU,Fei-hong CHEN,Min-min QIAO,Xun LU. The effects of revised mindfulness-based stress reduction in postoperative breast cancer patients[J].Chinese Journal of Nursing Education, 2019, 16(6): 427-431.

Figures/Tables 2

References 24

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周次	主题	授课内容	作业
第1周	走进改良正念减压疗法	介绍正念减压疗法基本知识和干预课程的内容及要求;发放相关手册和CD;建立微信群,增强归属感,便于练习指导及反馈;进行正念呼吸人门授课,讲解呼吸冥想方法,讨论如何用正念面对、解决生活中的压力	正念呼吸训练
第2周	正念喝水	教授正念喝水的内涵及要求,跟着音乐练习,分享患者正念喝水感受并分析	正念喝水训练
第调	接受我们的身体	教授患者身体扫描的方法及内涵,增加并强化乳房觉知内容,建立身体与心灵的联系,讲解注意事项,跟随音乐练习并交流	身体扫描训练
第4周	坐无杂念	教授坐禅的方法及内涵,引导患者正念呼吸、正念倾听、正念思维、正念观察, 直至进人无选择察觉,并讨论交流	坐禅训练
第调	行无杂念	教授行禅的方法、内涵及注意事项,引导患者体验、接受行走时身体和心灵的感受,并讨论交流	行禅训练
第6周	生活充满慈爱	教授慈爱冥想的内涵及注意事项,引导患者感受慈爱的力量,接受不完美的自己和他人,鼓励患者捕捉负性情绪并引导其分析、交流	慈爱冥想训练
第7周	自我探索,拥抱未来	教授正念自我探索的方法、内涵及涉及全身的4节伸展运动,复习之前所有内容,鼓励内化,制订适合自己的模式,将正念融人生活	正念自我探索训练

维度	试验组 (n=21)	对照组 (n=23)	t值	p值
生理状况	21.90±2.02	19.61±2.08	3.703	0.001
社会家庭状况	20.86±1.82	18.91±1.65	3.713	0.001
情感状况	15.86±2.35	12.65±1.92	4.969	<0.001
功能状况	16.38±2.99	13.57±1.97	3.717	0.001
附加关注状况	21.48±2.14	20.09±2.09	2.181	0.035
总分	96.48±5.83	84.83±4.82	7.250	<0.001

The effects of revised mindfulness-based stress reduction in postoperative breast cancer patients

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