首页|正念减压训练结合纽曼系统干预在肝癌手术患者中的应用

正念减压训练结合纽曼系统干预在肝癌手术患者中的应用

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目的 探讨正念减压训练结合纽曼系统干预在肝癌手术患者中的应用效果.方法 将135例肝癌手术患者按随机数字表法分为观察组、对照A组、对照B组,每组45例.对照A组采取正念减压训练,对照B组采取纽曼系统干预,观察组采取正念减压训练结合纽曼系统干预.比较3组患者术后康复情况、心理状态[简式简明心境问卷(POMS-SF)]、创伤后应激障碍[创伤后应激障碍自评量表(PCL-C)]及术后寒战发生情况.结果 观察组患者术后首次排气时间、首次排便时间、首次进食时间、首次下床时间及术后住院时间均短于对照A组、对照B组,差异均有统计学意义(P﹤0.05).干预后,观察组、对照A组患者POMS-SF量表各维度评分均较干预前降低,且观察组患者POMS-SF量表各维度评分均低于对照A组、对照B组,对照A组患者POMS-SF量表各维度评分均低于对照B组,差异均有统计学意义(P﹤0.05).干预后,3组患者PCL-C量表各维度评分均较干预前降低,且观察组患者PCL-C量表各维度评分均低于对照A组、对照B组,差异均有统计学意义(P﹤0.05).观察组、对照B组患者术后寒战发生率均低于对照A组,差异均有统计学意义(P﹤0.05).结论 正念减压训练结合纽曼系统干预有助于调节肝癌手术患者的心理状态,减轻创伤后应激障碍,减少术后寒战,促进术后早期康复.
Application of mindfulness-based stress reduction training combined with Newman system intervention in liver cancer patients undergoing surgery
Objective To explore the application effect of mindfulness-based stress reduction training combined with Newman system intervention in liver cancer patients undergoing surgery.Method A total of 135 patients with liver can-cer were divided into observation group,control group A and control group B according to random number table,45 cas-es in each group.Control group A was given mindfulness-based stress reduction training,control group B was given New-man system intervention,and observation group was given mindfulness-based stress reduction training combined with Newman system intervention.Postoperative rehabilitation,psychological state[profile of mood states-short form(POMS-SF)],post-traumatic stress disorder[post-traumatic stress symptoms self-rating scale(PCL-C)]and postoperative shiver-ing were compared between the 3 groups.Result The first postoperative exhaust time,first defecation time,first feeding time,first getting out of bed time and postoperative hospitalization time in observation group were shorter than those in control group A and control group B,and the differences were statistically significant(P<0.05).After intervention,the scores of each dimension of the POMS-SF scale in observation group and control group A were lower than those before intervention,and the scores of each dimension of the POMS-SF scale in observation group were lower than those in con-trol group A and control group B,and the scores of each dimension of the POMS-SF scale in control group A were lower than those in control group B,the differences were statistically significant(P<0.05).After intervention,the scores of each dimension of the PCL-C scale in the 3 groups were lower than those before intervention,and the scores of each dimen-sion of the PCL-C scale in observation group were lower than those in control group A and control group B,the differenc-es were statistically significant(P<0.05).The incidences of postoperative shivering in observation group and control group B were lower than those in control group A,and the differences were statistically significant(P<0.05).Conclusion Mindfulness-based stress reduction training combined with Newman system intervention can help to regulate the psycho-logical state of liver cancer patients undergoing surgery,alleviate post-traumatic stress disorder,reduce postoperative shiv-ering,and promote early postoperative recovery.

mindfulness-based stress reduction trainingNewman system interventionliver cancerpost-traumatic stress disordershivering

王韫琦、谢云霞、王菁、王钊

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郑州大学第一附属医院手术部,郑州 450000

正念减压训练 纽曼系统干预 肝癌 创伤后应激障碍 寒战

河南省二〇二〇年科技发展计划项目

202102310430

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(10)