正念减压法应用于直肠癌患者临床效果观察.docVIP

正念减压法应用于直肠癌患者临床效果观察 　　【摘要】 目的：探讨正念减压法对直肠癌患者的干预效果，以求为临床护理工作提供新方法、新思路。方法：选取2015年1月-2016年12月在本院就诊确诊为直肠癌且符合纳入条件的患者64例，按随机数字表法随机分为对照组和试验组，每组各32例。对照组实施常规心理护理，试验组在常规护理的基础上加入正念减压干预。干预前对两组的基本资料进行分析，干预前后都采用焦虑自评量表（SAS）、抑郁自评量表（SDS）、疲乏程度量表（FSS）对两组进行评价。结果：试验组患者焦虑程度、疲乏严重程度明显低于对照组（P0.05）。结论：正念减压法能够有效缓解直肠癌患者焦虑感、疲乏感，值得在临床推广。 　　【关键词】 正念减压法； 直肠癌； 抑郁； 焦虑； 疲乏严重程度 　　【Abstract】 Objective：To explore the intervention effect of mindfulness-based stress reduction on rectal cancer patients，in order to provide new methods and ideas for clinical nursing work.Method：From January 2015 to December 2016，64 patients who were diagnosed with rectal cancer and eligible for inclusion in the hospital were selected as research objects，they were divided into control group and test group，according to the random number table method，32 cases in each group.The control group was treated with routine nursing.On the basis of routine nursing，the test group was applied mindfulness-based stress reduction.Before the intervention，the data of basic information of two groups were analyzed.Besides，anxiety self-rating scale（SAS），self-rating depression scale（SDS），fatigue scale（FSS） were used to evaluate the two groups before and after the intervention.Result：The degree of anxiety and fatigue severity in test group were significantly lower than those of the control group（P0.05）.Conclusion：Mindfulness-based stress reduction can effectively alleviate the anxiety and feeling tired of patients with rectal cancer，it is worth in clinical promotion. 　　【Key words】 Mindfulness-based stress reduction； Rectal cancer； Depression； Anxiety； Fatigue severity 　　First-author’s address：TCM Hospital of Meizhou City，Meizhou 514000，China 　　doi：10.3969/j.issn.1674-4985.2017.25.021 　　2015年?{查发现，结直肠癌的发病率高居我国恶性肿瘤第3位，死亡率居第5位。我国??然是结直肠癌的低发区，但发病率呈逐年上升趋势[1-2]。直肠癌确诊后患者会担心预后、治疗费用，另外，大多数患者需要接受手术治疗，即做永久性的结肠造口，就发生了生理上的改变，同时还会有并发症的发生。对其生理、心理、社交等造成了障碍，大大削弱了自我效能感和术后康复的信心[3]。因此，在接受治疗和护理的过程中，往往会表现出较多的消极心理，影响治疗效果[4-5]。近年来，正念减压疗法（Mindfulness-based Stress Red