心智觉知训练对乳腺癌化疗患者自我效能、负性情绪及认知功能的影响
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摘要
要:目的探讨心智觉知训练对乳腺癌化疗患者自我效能、负性情绪及认知功能的影响。方法选取300例乳腺癌化疗患者,根据干预方法的不同分为观察组和对照组,每组150例。对照组患者化疗期间接受常规护理干预,观察组患者在此基础上联合心智觉知训练,干预时间均为12周,比较两组患者干预前后自我效能、负性情绪、认知功能及生活质量的变化。结果干预前,两组患者自我效能、蒙特利尔认知评估(MoCA)量表、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分,以及36项健康调查简表(SF-36)量表各维度评分比较,差异均无统计学意义(P>0.05)。干预后,两组患者自我效能、MoCA评分和SF-36量表各维度评分均明显高于本组干预前,SAS、SDS评分均明显低于本组干预前,差异均有统计学意义(P<0.01);且观察组患者自我效能、MoCA评分和SF-36量表各维度评分均明显高于对照组患者,SAS、SDS评分均明显低于对照组患者,差异均有统计学意义(P<0.01)。结论心智觉知训练可有效提高乳腺癌化疗患者自我效能,减轻患者化疗期间焦虑、抑郁情绪,改善患者的认知功能,提高患者的生活质量。
Objective To investigate the effect of mind consciousness training on self-efficacy, negative emotions and cognitive function of patients with breast cancer treated by chemotherapy. Method By different treatment, 300 cases of breast cancer chemotherapy patients were assigned as study group(n=150) and control group(n=150), respectively.The control group received conventional chemotherapy intervention, and the study group accepted mind consciousness training in addition to chemotherapy, the interventions in both groups lasted for 12 weeks. The changes of self-efficacy,negative emotions, cognitive function and quality of life(QOL) of patients in the two groups before and after intervention were compared. Result The scores of self-efficacy and Montreal cognitive assessment(MoCA) scale, self-rating anxiety scale(SAS), self-rating depression scale(SDS) and the MOS 36 item short form health survey(SF-36) scale were similar between the two groups before intervention(P>0.05). After intervention, the scores of self-efficacy, MoCA, and SF-36 were all significantly improved compared to those before intervention, while the scores of SAS and SDS were lower instead, with statistically significant differences observed(P<0.01); furthermore, the self-efficacy, MoCA and SF-36 scores were higher, while SAS and SDS scores were lower in study group compared with control group, demonstrating statistically significant differences(P<0.01). Conclusion Mind consciousness training can effectively improve the self-efficacy of patients with breast cancer accepting chemotherapy, alleviating their anxiety and depression during chemotherapy, improving cognitive function and ameliorate the quality of life of patients.
Objective To investigate the effect of mind consciousness training on self-efficacy, negative emotions and cognitive function of patients with breast cancer treated by chemotherapy. Method By different treatment, 300 cases of breast cancer chemotherapy patients were assigned as study group(n=150) and control group(n=150), respectively.The control group received conventional chemotherapy intervention, and the study group accepted mind consciousness training in addition to chemotherapy, the interventions in both groups lasted for 12 weeks. The changes of self-efficacy,negative emotions, cognitive function and quality of life(QOL) of patients in the two groups before and after intervention were compared. Result The scores of self-efficacy and Montreal cognitive assessment(MoCA) scale, self-rating anxiety scale(SAS), self-rating depression scale(SDS) and the MOS 36 item short form health survey(SF-36) scale were similar between the two groups before intervention(P>0.05). After intervention, the scores of self-efficacy, MoCA, and SF-36 were all significantly improved compared to those before intervention, while the scores of SAS and SDS were lower instead, with statistically significant differences observed(P<0.01); furthermore, the self-efficacy, MoCA and SF-36 scores were higher, while SAS and SDS scores were lower in study group compared with control group, demonstrating statistically significant differences(P<0.01). Conclusion Mind consciousness training can effectively improve the self-efficacy of patients with breast cancer accepting chemotherapy, alleviating their anxiety and depression during chemotherapy, improving cognitive function and ameliorate the quality of life of patients.
引文
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[13]陆靖,史铁英,李鹤.乳腺癌患者创伤后成长与心理弹性、社会支持和自我效能的相关性研究[J].中国实用护理杂志,2015,31(16):1171-1174.
[14]刘素娟,刘武杰,孙祥房.积极认知行为疗法对乳腺癌化疗患者心理状态及生活质量的影响[J].中国现代医生,2015,53(11):88-91.
[15]叶羞花.癌症居家康复病人社区心智觉知训练护理干预效果观察[J].全科护理,2016,14(8):765-767.
[16]杜彦玲,英晓迪,申秀玲,等.心智觉知干预模式对肿瘤手术患者知觉压力及焦虑抑郁水平的影响[J].中国实用护理杂志,2016,32(35):2756-2758.
[17]胥秀,冯丹,贾罄竹,等.心智觉知干预模式对肺癌化疗患者生活质量和心理状况的影响[J].中华肺部疾病杂志(电子版),2017,10(1):50-54[2018-04-01].http://zhfbjbzz.yiigle.com/CN119295201701/1068297.htm?locale=zh_CN.
[2]柴丽君,祁川川,何真,等.乳腺癌化疗后轻度认知功能障碍的行为干预[J].中国实用神经疾病杂志,2017,20(17):94-95.
[3]刘少华,强万敏,陈育红,等.乳腺癌患者化疗期间性行为认知及需求的质性研究[J].护理学杂志,2016,31(18):43-46.
[4]黄昆,刘玉,王蓓,等.个体化认知行为干预对乳腺癌术后化疗患者心理弹性的影响[J].中华现代护理杂志,2016,22(1):32-37.
[5]赵雯雯,张爱华.心智觉知训练对乳腺癌病人心理弹性影响的研究[J].护理研究,2015,29(8B):3286-3288.
[6]施俊琦,王垒.一般性自我效能量表的信效度检验[J].中国心理卫生杂志,2005,19(3):191-193.
[7]张立秀,刘雪琴.蒙特利尔认知评估量表中文版的信效度研究[J].护理研究,2007,21(31):2906-2907.
[8]王征宇,迟玉芬.焦虑自评量表(SAS)[J].上海精神医学,1984,2(2):73-74.
[9]王文菁,谭文艳.Zung抑郁自评量表的因子分析[J].广东医学,2011,32(16):2191-2193.
[10]李鲁,王红妹,沈毅,等.SF-36健康调查量表中文版的研制及其性能测试[J].中华预防医学杂志,2002,36(2):109-113.
[11]刘少华.化疗进程显著影响乳腺癌患者感知认知功能[J].护士进修杂志,2017,32(14):1321-1322.
[12]杨明慧,程怀东,陈振东,等.乳腺癌化疗后抑郁情绪对其认知功能影响的研究[J].安徽医科大学学报,2015,50(5):645-647.
[13]陆靖,史铁英,李鹤.乳腺癌患者创伤后成长与心理弹性、社会支持和自我效能的相关性研究[J].中国实用护理杂志,2015,31(16):1171-1174.
[14]刘素娟,刘武杰,孙祥房.积极认知行为疗法对乳腺癌化疗患者心理状态及生活质量的影响[J].中国现代医生,2015,53(11):88-91.
[15]叶羞花.癌症居家康复病人社区心智觉知训练护理干预效果观察[J].全科护理,2016,14(8):765-767.
[16]杜彦玲,英晓迪,申秀玲,等.心智觉知干预模式对肿瘤手术患者知觉压力及焦虑抑郁水平的影响[J].中国实用护理杂志,2016,32(35):2756-2758.
[17]胥秀,冯丹,贾罄竹,等.心智觉知干预模式对肺癌化疗患者生活质量和心理状况的影响[J].中华肺部疾病杂志(电子版),2017,10(1):50-54[2018-04-01].http://zhfbjbzz.yiigle.com/CN119295201701/1068297.htm?locale=zh_CN.