世界睡眠医学杂志2024,Vol.11Issue(2) :483-486.DOI:10.3969/j.issn.2095-7130.2024.02.069

正念减压干预对晚期肺癌心理状态及睡眠效度的影响研究

Effect of Mindfulness Decompression on Psychological Status and Sleep Validity in Patients with Advanced Lung Cancer

陈晓亮 陈慧莉 张秀燕
世界睡眠医学杂志2024,Vol.11Issue(2) :483-486.DOI:10.3969/j.issn.2095-7130.2024.02.069

正念减压干预对晚期肺癌心理状态及睡眠效度的影响研究

Effect of Mindfulness Decompression on Psychological Status and Sleep Validity in Patients with Advanced Lung Cancer

陈晓亮 1陈慧莉 1张秀燕1
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作者信息

  • 1. 福建医科大学附属泉州第一医院呼吸与危重症医学科,泉州,362000
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摘要

目的:探讨正念减压干预对晚期肺癌患者的心理状态、睡眠效度的影响,为临床应用提供依据.方法:选取2021年5月至2023年5月福建医科大学附属泉州第一医院收治的晚期肺癌患者75例作为研究对象,按照随机数字表法分为对照组(n=35)和观察组(n=40).所有患者均给予针对治疗,对照组实施常规护理干预,观察组同时实施正念减压干预,均干预4周;应用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估患者心理状态,并观察干预前后2组患者的睡眠时长、入睡潜伏期、觉醒时间及睡眠效率,并应用匹兹堡睡眠质量指数(PSQI)评估睡眠质量.结果:干预后,2组患者SAS、SDS评分均有降低,且观察组显著低于对照组,差异均有统计学意义(均P<0.05).观察组干预后的睡眠时长、睡眠效率均高于对照组,差异均有统计学意义(均P<0.05),入睡潜伏期短于对照组,差异有统计学意义(P<0.05),但觉醒时间组间比较,差异无统计学意义(P>0.05).干预前,2组PSQI评分差异无统计学意义(P>0.05),干预后,2组PSQI评分均有降低,差异均有统计学意义(均P<0.05),且观察组明显低于对照组,差异有统计学意义(P<0.05).结论:对晚期肺癌患者开展正念减压干预,有助于改善患者心理,提高患者的睡眠质量,值得实践和应用.

Abstract

Objective:To explore the effect of mindfulness decompression on psychological status and sleep validity of patients with advanced lung cancer.Methods:A total of 75 patients with advanced lung cancer diagnosed and treated in the Quanzhou First Hospital Affiliated to Fujian Medical University from May 2021 to May 2023 were selected for the study and were randomly divided into a control group(35 cases)and an observation group(40 cases).All patients were given targeted treatment.The con-trol group received routine nursing intervention,while the observation group received mindfulness decompression intervention for 4 weeks.Evaluate the psychological status of patients using Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)scales,and observe the sleep duration,sleep latency,wakefulness time,and sleep efficiency of the two groups of patients before and after intervention.Use the Pittsburgh Sleep Quality Index(PSQI)to evaluate sleep quality.Results:After intervention,the SAS and SDS scores of both groups of patients decreased,and the observation group was significantly lower than the control group(Ps<0.05).After intervention,the sleep duration and sleep efficiency of the observation group were higher than those of the con-trol group(Ps<0.05),and the sleep latency was shorter than that of the control group(P<0.05),but there was no significant difference in awakening time between the groups(P>0.05).Before intervention,the PSQI scores of the two groups were basically consistent(P>0.05).After intervention,the PSQI scores of both groups decreased(Ps<0.05),and the observation group was significantly lower than the control group(P<0.05).Conclusion:The intervention of mindfulness decompression in patients with advanced lung cancer can improve their psychology and sleep quality,which is worthy of practice and application.

关键词

正念减压干预/晚期肺癌/心理干预/焦虑/抑郁/睡眠时长/睡眠效度/睡眠质量

Key words

Mindfulness decompression intervention/Advanced lung cancer/Psychological intervention/Anxiety/Depression/Sleep duration/Sleep validity/Sleep quality

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出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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