正念认知行为训练对肺癌患者自我感受负担、应对方式及自我效能的影响
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摘要
目的:探讨分析正念认知行为训练对肺癌患者自我感受负担、应对方式及自我效能的影响。方法:选取2014年6月至2016年6月我院收治的肺癌患者120例纳入研究对象,采用回顾性分析法分析所有患者的临床资料,根据不同的护理方式分为两组,分别为对照组60例和观察组60例,对照组患者在临床上给予亲情护理干预,观察组患者在对照组基础上联合正念认知行为训练护理,两组患者均治疗2个月,结束后对比两组患者干预前后自我感受负担、应对方式及自我效能的变化情况。结果:干预前,两组的SPBS评分无明显差异;观察组干预后的SPBS评分高于对照组(t=8.143,P<0.001);干预前,两组的MCMQ评分中面对、回避及屈服均无明显差异;两组患者干预后MCMQ评分中面对得分较前有显著增加,两组患者干预后MCMQ评分中屈服、回避得分较干预前有明显降低(P<0.05),观察组患者干预后MCMQ评分中面对得分高于对照组(t=3.276,P<0.001)。观察组患者干预后MCMQ评分中回避、屈服得分低于对照组(t=5.760,5.884;P<0.001);干预前,两组的SES及GSES评分无明显差异;相比干预前,两组患者干预后SES及GSES评分均明显升高(P<0.05),且观察组干预后的SES及GSES评分与对照组有差异(t=3.621,3.212;P<0.01)。结论:对肺癌患者,采取正念认知行为训练可有效地改善患者的自我感受负担及应对方式、提高患者的自我效能感,达到改善患者生活质量的目的。
Objective:To investigate the effects of mindfulness based cognitive behavioral training on self perceived burden,coping style and self-efficacy of lung cancer patients.Methods:From June 2014 to June 2016,120 cases of lung cancer patients in our hospital were included in the study.The clinical data of all patients were analyzed by retrospective analysis,according to different nursing methods,the patients were divided into two groups,60 cases in the control group and 60 cases in the observation group,patients in the control group were given family nursing intervention in clinic,the observation group was treated with mindfulness based cognitive behavioral training on the basis of the control group,two groups of patients were treated for 2months,after the end of the two groups were compared before and after the intervention of self perceived burden,coping style and self-efficacy changes.Results:There was no significant difference in SPBS scores between the two groups before intervention;The SPBS score of the observation group after the intervention was higher than that of the control group(t=8.143,P<0.001);Before intervention,there was no significant difference in MCMQ score,avoidance,and yield between the two groups;Compared with the intervention,the scores of MCMQ scores in the two groups were significantly increased after intervention(P<0.05),compared with the intervention,the scores of MCMQ scores in the two groups were significantly increased after intervention(P<0.05).The score of avoidance and yield in the two groups decreased.The scores of MCMQ scores in the observation group were higher than those in the control group(t=3.276,P<0.001).In the observation group,the scores of avoidance and submission in the MCMQ score were lower than those in the control group(t=5.760,5.884;P<0.001);Before intervention,there was no significant difference in SES and GSES scores between the two groups;Compared with the intervention,the scores of SES and SPBS were significantly higher in the two groups after intervention(P<0.05),and the scores of SES and SPBS in the observation group after the intervention were different from those in the control group(t=3.621,3.212;P<0.01).Conclusion:The mindfulness cognitive behavior training can effectively improve the patient's self perceived burden and coping style,and improve the self-efficacy of patients with lung cancer,so as to improve the quality of life of patients.
Objective:To investigate the effects of mindfulness based cognitive behavioral training on self perceived burden,coping style and self-efficacy of lung cancer patients.Methods:From June 2014 to June 2016,120 cases of lung cancer patients in our hospital were included in the study.The clinical data of all patients were analyzed by retrospective analysis,according to different nursing methods,the patients were divided into two groups,60 cases in the control group and 60 cases in the observation group,patients in the control group were given family nursing intervention in clinic,the observation group was treated with mindfulness based cognitive behavioral training on the basis of the control group,two groups of patients were treated for 2months,after the end of the two groups were compared before and after the intervention of self perceived burden,coping style and self-efficacy changes.Results:There was no significant difference in SPBS scores between the two groups before intervention;The SPBS score of the observation group after the intervention was higher than that of the control group(t=8.143,P<0.001);Before intervention,there was no significant difference in MCMQ score,avoidance,and yield between the two groups;Compared with the intervention,the scores of MCMQ scores in the two groups were significantly increased after intervention(P<0.05),compared with the intervention,the scores of MCMQ scores in the two groups were significantly increased after intervention(P<0.05).The score of avoidance and yield in the two groups decreased.The scores of MCMQ scores in the observation group were higher than those in the control group(t=3.276,P<0.001).In the observation group,the scores of avoidance and submission in the MCMQ score were lower than those in the control group(t=5.760,5.884;P<0.001);Before intervention,there was no significant difference in SES and GSES scores between the two groups;Compared with the intervention,the scores of SES and SPBS were significantly higher in the two groups after intervention(P<0.05),and the scores of SES and SPBS in the observation group after the intervention were different from those in the control group(t=3.621,3.212;P<0.01).Conclusion:The mindfulness cognitive behavior training can effectively improve the patient's self perceived burden and coping style,and improve the self-efficacy of patients with lung cancer,so as to improve the quality of life of patients.
引文
[1]赵雅玲,郝正玮,李佳宁.正念行为训练联合亲情护理对肺癌病人自我感觉负担和应对方式的影响[J].护理研究,2016,30(10):1163-1166
[2]储文革,陈燕,赵兵,等.认知行为治疗对社区精神分裂症患者自我效能感、应对方式及社会功能的影响[J].临床精神医学杂志,2016,26(6):394-396
[3]张丽玥,朱俐,谢棋.团体认知行为干预对肺心病患者自我效能和应对方式的影响[J].医学临床研究,2015,34(11):2155-2157
[4]赵雅玲,郝正玮,李佳宁.正念行为训练联合信息支持对肺癌患者疾病不确定感和应对方式的影响[J].贵州医药,2016,40(10):1110-1112
[5]何冰杰,王晓燕,余丽君,等.心理支持护理对肺癌术后化疗患者自我感受负担和生活质量的影响[J].中国肿瘤临床与康复,2017,24(1):92-95
[6]邹宝林,黄燕林,黄柳,等.认知行为干预对中青年腹膜透析患者自我感受负担及情绪的效果[J].广东医学,2016,37(14):2215-2218
[7]钟佳涵,李波,刘素贞.团体正念认知训练对大学生焦虑水平的影响[J].中国健康心理学杂志,2015,23(7):1067-1071
[8]田甜,李博,张琳,等.协同干预对帕金森病患者自我效能及自我感受负担的影响[J].中华现代护理杂志,2017,23(6):744-747
[9]刘国斌.舍曲林联合认知行为疗法治疗产后抑郁症的对照研究[J].保健医学研究与实践,2015,12(5):36-38
[10]满孝典,刘晓芹,孙宏伟.紧张性头痛患者生活质量及其与自我效能、应对方式的关系[J].中国健康心理学杂志,2015,23(5):670-673
[11]储文革,陈燕,赵兵,等.认知行为治疗对社区精神分裂症患者自我效能感、应对方式及社会功能的影响[J].临床精神医学杂志,2016,26(6):394-396
[12]Qian-Ru L I,Zhou Y Q,Zou J H,et al.Influence of social support and self-efficacy on self-perceived burden in patients with acute exacerbation of chronic obstructive pulmonary disease:A simple effect analysis[J].Journal of Nursing,2016,11(5):332-335
[13]Juan D U.Study on relation of health self-management skills and self-perceived burden of patients with chronic diseases[J].Medical Journal of Chinese Peoples Health,2015,14(4):276-279
[14]贾悦,仇晓溪,魏萍.团体认知行为疗法对直肠癌永久性结肠造口病人心理及自我管理效能感的影响[J].护理研究,2015,29(33):4214-4216
[15]王宴庆,赵鑫.正念对考试焦虑的影响:情绪调节自我效能感的中介作用[J].中国临床心理学杂志,2015,23(4):746-749
[16]范亚霞,郝正玮,王红阳,等.正念认知行为训练对脑梗死肩手综合征患者自我感受负担及自我效能的影响[J].中华现代护理杂志,2016,22(12):1664-1669
[2]储文革,陈燕,赵兵,等.认知行为治疗对社区精神分裂症患者自我效能感、应对方式及社会功能的影响[J].临床精神医学杂志,2016,26(6):394-396
[3]张丽玥,朱俐,谢棋.团体认知行为干预对肺心病患者自我效能和应对方式的影响[J].医学临床研究,2015,34(11):2155-2157
[4]赵雅玲,郝正玮,李佳宁.正念行为训练联合信息支持对肺癌患者疾病不确定感和应对方式的影响[J].贵州医药,2016,40(10):1110-1112
[5]何冰杰,王晓燕,余丽君,等.心理支持护理对肺癌术后化疗患者自我感受负担和生活质量的影响[J].中国肿瘤临床与康复,2017,24(1):92-95
[6]邹宝林,黄燕林,黄柳,等.认知行为干预对中青年腹膜透析患者自我感受负担及情绪的效果[J].广东医学,2016,37(14):2215-2218
[7]钟佳涵,李波,刘素贞.团体正念认知训练对大学生焦虑水平的影响[J].中国健康心理学杂志,2015,23(7):1067-1071
[8]田甜,李博,张琳,等.协同干预对帕金森病患者自我效能及自我感受负担的影响[J].中华现代护理杂志,2017,23(6):744-747
[9]刘国斌.舍曲林联合认知行为疗法治疗产后抑郁症的对照研究[J].保健医学研究与实践,2015,12(5):36-38
[10]满孝典,刘晓芹,孙宏伟.紧张性头痛患者生活质量及其与自我效能、应对方式的关系[J].中国健康心理学杂志,2015,23(5):670-673
[11]储文革,陈燕,赵兵,等.认知行为治疗对社区精神分裂症患者自我效能感、应对方式及社会功能的影响[J].临床精神医学杂志,2016,26(6):394-396
[12]Qian-Ru L I,Zhou Y Q,Zou J H,et al.Influence of social support and self-efficacy on self-perceived burden in patients with acute exacerbation of chronic obstructive pulmonary disease:A simple effect analysis[J].Journal of Nursing,2016,11(5):332-335
[13]Juan D U.Study on relation of health self-management skills and self-perceived burden of patients with chronic diseases[J].Medical Journal of Chinese Peoples Health,2015,14(4):276-279
[14]贾悦,仇晓溪,魏萍.团体认知行为疗法对直肠癌永久性结肠造口病人心理及自我管理效能感的影响[J].护理研究,2015,29(33):4214-4216
[15]王宴庆,赵鑫.正念对考试焦虑的影响:情绪调节自我效能感的中介作用[J].中国临床心理学杂志,2015,23(4):746-749
[16]范亚霞,郝正玮,王红阳,等.正念认知行为训练对脑梗死肩手综合征患者自我感受负担及自我效能的影响[J].中华现代护理杂志,2016,22(12):1664-1669