目的 探讨正念癌症康复模式联合团体心理干预在提高鼻咽癌放疗患者自我效能感中的应用效果。 方法 选取2018年10月至2021年10月期间中山大学肿瘤防治中心收治的鼻咽癌放疗患者100例为研究对象，将2018年10月至2020年4月收治的鼻咽癌放疗患者50例设为对照组，将2020年5月至2021年10月收治的鼻咽癌放疗患者50例设为观察组。对照组常规护理，观察组在此基础上给予正念癌症康复模式联合团体心理干预，观察并比较两组干预前后的身心应激、自我效能感及应对方式。 结果 干预后，观察组心理状态评分及症状评分均低于对照组(均P<0。05)；观察组自我效能评分高于对照组(P<0。05)；观察组消极认知和不良情绪评分低于对照组(P<0。05)，积极态度评分高于对照组(P<0。05)。 结论 正念癌症康复模式联合团体心理干预可显著降低鼻咽癌放疗患者身心应激，提高自我效能感和积极应对认知，效果优于常规护理，具有可行性，可作为鼻咽癌放疗时期辅助治疗护理手段。 Objective To explore the application effect of the cancer rehabilitation mode of mindfulness combined with group psychological intervention in improving the self-efficacy of patients with nasopharyngeal cancer。 Methods A total of 100 patients with radiotherapy for nasopharyngeal carcinoma admitted to the hospital from October 2018 to October 2021 were selected as the study objects， 50 patients with radiotherapy for nasopharyngeal carcinoma admitted from October 2018 to April 2020 were set as the control group， and 50 patients with radiotherapy for nasopharyngeal carcinoma admitted from May 2020 to October 2021 were set as the observation group。The control group was given routine nursing， and the observation group was given mindfulness cancer rehabilitation mode combined with group psychological intervention on this basis。 The physical and mental stress， self-efficacy and coping styles of the two groups were observed and compared before and after intervention。 Results After intervention， the psychological status scores and symptom scores of the observation group were lower than those of the control group (P<0。05)。 The self-efficacy score of observation group was higher than that of control group (P<0。05)。 The negative cognition and negative emotion scores of the observation group were lower than those of the control group (P<0。05)， positive attitude score was higher than that of control group (P<0。05)。 Conclusions The combination of mindfulness cancer rehabilitation mode and group psychological intervention can significantly reduce the physical and mental stress of patients with nasopharyngeal cancer radiotherapy， improve self-efficacy and positive coping cognition， and the effect is better than conventional nursing， which is feasible and can be used as an auxiliary treatment and nursing means during nasopharyngeal cancer radiotherapy。
Effect of mindfulness cancer rehabilitation model and group psychological intervention in improving self-efficacy in patients with nasopharyngeal cancer radiotherapy
Objective To explore the application effect of the cancer rehabilitation mode of mindfulness combined with group psychological intervention in improving the self-efficacy of patients with nasopharyngeal cancer. Methods A total of 100 patients with radiotherapy for nasopharyngeal carcinoma admitted to the hospital from October 2018 to October 2021 were selected as the study objects, 50 patients with radiotherapy for nasopharyngeal carcinoma admitted from October 2018 to April 2020 were set as the control group, and 50 patients with radiotherapy for nasopharyngeal carcinoma admitted from May 2020 to October 2021 were set as the observation group.The control group was given routine nursing, and the observation group was given mindfulness cancer rehabilitation mode combined with group psychological intervention on this basis. The physical and mental stress, self-efficacy and coping styles of the two groups were observed and compared before and after intervention. Results After intervention, the psychological status scores and symptom scores of the observation group were lower than those of the control group (P<0.05). The self-efficacy score of observation group was higher than that of control group (P<0.05). The negative cognition and negative emotion scores of the observation group were lower than those of the control group (P<0.05), positive attitude score was higher than that of control group (P<0.05). Conclusions The combination of mindfulness cancer rehabilitation mode and group psychological intervention can significantly reduce the physical and mental stress of patients with nasopharyngeal cancer radiotherapy, improve self-efficacy and positive coping cognition, and the effect is better than conventional nursing, which is feasible and can be used as an auxiliary treatment and nursing means during nasopharyngeal cancer radiotherapy.
Mindfulness cancer rehabilitation modelGroup psychological counselingNasopharyngeal cancerSelf-efficacy
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