【摘要】 目的探讨和分析在肺癌晚期患者的护理中短期正念行为训练的作用。方法此次抽取2013年5月—2017年11月在该医院治疗的肺癌晚期患者(66例)当做分析的对象,遵入院顺序分乙组和甲组,每组33例。全部患者均实施常规护理,甲组加用短期的正念行为训练,对患者的MCMQ评分、SAS评分、KPS评分、MAAS评分、生活质量评分进行总结。结果甲组的回避评分(10.65±1.52)分、屈服评分(8.33±1.52)分、面对评分(21.01±0.84)分、SAS评分(36.11±5.22)分、KPS评分(68.77±4.22)分、觉知行为评分(12.51±1.23)分、对内在经验的非批判性评分(14.25±0.42)分、描述评分(12.48±1.01)分、观察评分(11.21±0.68)分、对内在经验的非反应性评分(13.22±0.58)分、社会功能评分(68.14±4.45)分、角色功能评分(74.12±4.78)分、躯体功能评分(63.52±4.72)分、心理功能评分(68.41±4.42)分、认知功能评分(84.41±6.15)分都优于乙组[(15.51±1.77)分、(12.48±2.13)分、(16.85±1.12)分、(45.62±6.23)分、(61.15±3.22)分、(10.11±0.87)分、(10.73±0.84)分、(10.74±0.83)分、(9.31±0.54)分、(10.22±1.01)分、(56.21±3.24)分、(65.12±4.12)分、(52.78±3.11)分、(56.33±3.11)分、(70.52±5.62)分],差异有统计学意义(P<0.05)。结论在肺癌晚期患者的护理中,短期的正念行为训练可改善其行为状态、焦虑状态,减轻自我感觉负担,并提高生活质量。更多还原

【Abstract】 Objective To study and analyze the effect of short-term mindfulness behavioral training in the nursing of patients with advanced lung cancer. Methods 66 cases of patients with advanced lung cancer treated in our hospital from May 2013 to November 2017 were selected as the analysis objects and divided into the admission order, with 33 cases in each, all patients used the routine nursing, and the group A increased the short-term mindfulness behavioral training, and the MCMQ score, SAS score, KPS score, MAAS score and quality of life score were summarized. Results The avoidance score, yield score, facing score, SAS score, KPS score, awarness behavior score, non-critical score, descriptive score, observation score, non-reactive score, social function score, role function score, somatic function score,mental function score and cognitive function score in the group A were better than those in the group B, [(10.65±1.52)points,(8.33±1.52)points,(21.01±0.84)points,(21.01±0.84)points,(68.77±4.22)points,(12.51±1.23)points,(14.25±0.42)points,(12.48±1.01)points,(11.21±0.68)points,(13.22±0.58)points,(68.14±4.45)points,(74.12±4.78)points,(63.52±4.72)marks,(68.41 ±4.42)points,(84.41 ±6.15)points vs(15.51 ±1.77)points,(12.48 ±2.13)points,(16.85 ±1.12)points,(45.62 ±6.23)points,(61.15±3.22)points,(10.11±0.87)points,(10.73±0.84)points,(10.74±0.83)points,(9.31±0.54)points,(10.22±1.01)points,(56.21 ±3.24)points,(65.12 ±4.12)points,(52.78 ±3.11)points,(56.33 ±3.11)points,(70.52 ±5.62)points], the difference was stertistically significant(P <0.05). Conclusion The short-term mindfulness behavioral training in the nursing of patients with advanced lung cancer can improve the behavioral state and anxiety state, relieve the self-feeling burden and improve the quality of life.更多还原