正念减压疗法联合赋能教育对食管癌放疗患者心理状况的影响
Impact of Mindfulness-Based Stress Reduction Therapy Combined with Empowerment Education on the Psychological Status of Patients with Esophageal Cancer Undergoing Radiotherapy
夏艳红 1谭美 1刘利蕊 1朱青山2
作者信息
- 1. 安阳市肿瘤医院 放射治疗科四病区,河南 安阳 455000
- 2. 安阳市肿瘤医院 放射治疗四科,河南 安阳 455000
- 折叠
摘要
目的 探讨食管癌(EC)放疗患者采用正念减压疗法联合赋能教育对心理状况的影响.方法 选取 2022 年 1月至 2023 年 2 月期间在安阳市肿瘤医院接受放疗的 86 例EC患者,以随机数字表法分成干预组(n=43,正念减压疗法联合赋能教育)与对照组(n=43,常规护理),比较两组心理状况、希望水平、营养状况及自我护理能力.结果 干预后,两组患者贝克焦虑量表(BAI)、贝克抑郁量表(BDI-Ⅱ)评分均有所降低,且干预组低于对照组,差异有统计学意义(P＜0.05).干预后,两组患者Herth希望量表(HHI)评分均有所提高,且干预组高于对照组,差异有统计学意义(P＜0.05).干预后,两组患者血清前白蛋白(PA)、白蛋白(ALB)水平均有所提高,且干预组高于对照组,差异有统计学意义(P＜0.05).干预后,两组患者自我护理能力量表(ESCA)评分均有所提高,且干预组高于对照组,差异有统计学意义(P＜0.05).结论 正念减压疗法联合赋能教育应用于EC放疗患者干预中,能够改善心理及营养状况,提高希望水平与自我护理能力.
Abstract
Objective To explore the impact of mindfulness-based stress reduction therapy combined with empowerment education on the psychological status of patients with esophageal cancer(EC)undergoing radiotherapy.Methods A total of 86 EC patients who received radiotherapy in Anyang Cancer Hospital from January 2022 to February 2023 were selected.They were divided into the intervention group(n=43,mindfulness-based stress reduction therapy combined with empowerment education)and the control group(n=43,conventional care)by the random number table method.The psychological status,level of hope,nutritional status,and self-care ability of the two groups were compared.Results After intervention,the scores of the Beck Anxiety Inventory(BAI)and Beck Depression Inventory-Ⅱ(BDI-Ⅱ)of both groups decreased,and the intervention group was lower than the control group,with statistically significant differences(P＜0.05).After intervention,the scores of the Herth Hope Index(HHI)of both groups increased,and the intervention group was higher than the control group,with statistically significant differences(P＜0.05).After intervention,the levels of serum prealbumin(PA)and albumin(ALB)of both groups increased,and the intervention group was higher than the control group,with statistically significant differences(P＜0.05).After intervention,the scores of the Self-Care Ability Scale(ESCA)of both groups increased,and the intervention group was higher than the control group,with statistically significant differences(P＜0.05).Conclusion The application of mindfulness-based stress reduction therapy combined with empowerment education in the intervention of EC patients undergoing radiotherapy can improve psychological and nutritional status,increase the level of hope and self-care ability.
关键词
食管癌/放疗/正念减压疗法/赋能教育/心理状况Key words
esophageal cancer/radiotherapy/mindfulness-based stress reduction therapy/empowerment education/psychological status引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据