目的 肺癌患者癌因性疲乏(CRF)的发生率比较高，对患者的正常生活造成了严重的困扰，目前针对癌因性疲乏的干预手段少、药物治疗疗效不佳。据文献报道，正念减压疗法(MBSR)能有效缓解癌症患者的疲乏。本文就MBSR的定义、干预机制及方案、肺癌CRF的影响因素、MBSR在肺癌CRF干预中的应用现状等方面展开系统综述；同时，分别从患者认知改变、医护观念更新及体制建立3个方面，阐述现阶段的研究不足，并指出相应的研究方向，以期为国内学者更好地应用MBSR对肺癌CRF患者进行干预研究提供借鉴。 The incidence of cancer-related fatigue (CRF) in patients with lung cancer is relatively high， which has caused serious troubles to the normal life of patients。 At present， there are few intervention methods for cancer-related fatigue and the effect of drug treatment is not good。 Mindfulness-based stress reduction (MBSR) has been reported to be effective in relieving fatigue in cancer patients。 This article systematically reviewed the definition of MBSR， the intervention mechanism and scheme， the influencing factors of CRF in lung cancer， and the application status of MBSR in the intervention of CRF in lung cancer。 At the same time， this paper expounded the current research deficiencies and pointed out the corresponding research directions from three aspects of patients' cognitive change， medical and nursing concept update and system establishment， in order to provide a reference for domestic scholars to better apply MBSR in the intervention research of lung cancer patients with CRF。
Application progress of mindfulness-based stress reduction therapy in the intervention of cancer-related fatigue in lung cancer
The incidence of cancer-related fatigue (CRF) in patients with lung cancer is relatively high, which has caused serious troubles to the normal life of patients. At present, there are few intervention methods for cancer-related fatigue and the effect of drug treatment is not good. Mindfulness-based stress reduction (MBSR) has been reported to be effective in relieving fatigue in cancer patients. This article systematically reviewed the definition of MBSR, the intervention mechanism and scheme, the influencing factors of CRF in lung cancer, and the application status of MBSR in the intervention of CRF in lung cancer. At the same time, this paper expounded the current research deficiencies and pointed out the corresponding research directions from three aspects of patients' cognitive change, medical and nursing concept update and system establishment, in order to provide a reference for domestic scholars to better apply MBSR in the intervention research of lung cancer patients with CRF.
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