摘要
目的:探讨正念减压疗法对鼻咽癌患者睡眠质量、抑郁、焦虑情况的影响.方法:选取2022 年 1 月至2022 年 11 月中国人民解放军联勤保障部队第九〇九医院/厦门附属东南医院肿瘤科收治的鼻咽癌患者 100 例作为研究对象,其中2022 年 1 月至5 月收治的50 例设为对照组,2022 年6 月至 11 月收治的50 例设为观察组.对照组采用常规心理护理方法,观察组在对照组基础上实施正念减压疗法干预,干预 1 个月后比较2 组患者干预前后睡眠质量、抑郁、焦虑情况.结果:干预后观察组匹兹堡睡眠质量指数量表(PSQI)睡眠质量、睡眠时间、入睡时间、睡眠障碍、睡眠效率、日间功能障碍、催眠药物评分及PSQI总分均高于对照组(P＜0.05).观察组患者干预后抑郁、焦虑发生率低于观察组(P＜0.05).结论:正念减压疗法能有效缓解鼻咽癌患者的抑郁、焦虑情绪,改善其睡眠质量,值得在临床推广应用.
Abstract
Objective:To investigate the effects of mindfulness-based stress reduction therapy on sleep quality,depression and anxi-ety in patients with nasopharyngeal carcinoma.Methods:A total of 100 nasopharyngeal carcinoma patients admitted to the Depart-ment of Oncology of the 99th Hospital of the Chinese People's Liberation Army Joint Logistics Support Force/Xiamen Affiliated Southeast Hospital from January 2022 to November 2022 were selected as the study objects,50 cases admitted from January to May 2022 were set as the control group,and 50 cases admitted from June to November 2022 were set as the observation group.The control group was treated with conventional psychological nursing,and the observation group was treated with mindfulness-based decompres-sion therapy on the basis of the control group.After 1 month of intervention,the sleep quality,depression and anxiety of the two groups were compared before and after intervention.Results:After intervention,the Pittsburgh Sleep Quality Index(PSQI)sleep quality,sleep time,sleep disturbance,sleep efficiency,daytime dysfunction,hypnotic drug score and PSQI total score of the observa-tion group were higher than those of the control group(P＜0.05).The incidence of depression and anxiety in observation group was lower than that in observation group(P＜0.05).Conclusion:Mindfulness-based stress reduction therapy can effectively relieve de-pression and anxiety in nasopharyngeal carcinoma patients and improve their sleep quality,which is worthy of clinical application.
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