【摘要】 要:目的探讨心智觉知训练对乳腺癌化疗患者自我效能、负性情绪及认知功能的影响。方法选取300例乳腺癌化疗患者,根据干预方法的不同分为观察组和对照组,每组150例。对照组患者化疗期间接受常规护理干预,观察组患者在此基础上联合心智觉知训练,干预时间均为12周,比较两组患者干预前后自我效能、负性情绪、认知功能及生活质量的变化。结果干预前,两组患者自我效能、蒙特利尔认知评估(MoCA)量表、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分,以及36项健康调查简表(SF-36)量表各维度评分比较,差异均无统计学意义(P>0.05)。干预后,两组患者自我效能、MoCA评分和SF-36量表各维度评分均明显高于本组干预前,SAS、SDS评分均明显低于本组干预前,差异均有统计学意义(P<0.01);且观察组患者自我效能、MoCA评分和SF-36量表各维度评分均明显高于对照组患者,SAS、SDS评分均明显低于对照组患者,差异均有统计学意义(P<0.01)。结论心智觉知训练可有效提高乳腺癌化疗患者自我效能,减轻患者化疗期间焦虑、抑郁情绪,改善患者的认知功能,提高患者的生活质量。更多还原

【Abstract】 Objective To investigate the effect of mind consciousness training on self-efficacy, negative emotions and cognitive function of patients with breast cancer treated by chemotherapy. Method By different treatment, 300 cases of breast cancer chemotherapy patients were assigned as study group(n=150) and control group(n=150), respectively.The control group received conventional chemotherapy intervention, and the study group accepted mind consciousness training in addition to chemotherapy, the interventions in both groups lasted for 12 weeks. The changes of self-efficacy,negative emotions, cognitive function and quality of life(QOL) of patients in the two groups before and after intervention were compared. Result The scores of self-efficacy and Montreal cognitive assessment(MoCA) scale, self-rating anxiety scale(SAS), self-rating depression scale(SDS) and the MOS 36 item short form health survey(SF-36) scale were similar between the two groups before intervention(P>0.05). After intervention, the scores of self-efficacy, MoCA, and SF-36 were all significantly improved compared to those before intervention, while the scores of SAS and SDS were lower instead, with statistically significant differences observed(P<0.01); furthermore, the self-efficacy, MoCA and SF-36 scores were higher, while SAS and SDS scores were lower in study group compared with control group, demonstrating statistically significant differences(P<0.01). Conclusion Mind consciousness training can effectively improve the self-efficacy of patients with breast cancer accepting chemotherapy, alleviating their anxiety and depression during chemotherapy, improving cognitive function and ameliorate the quality of life of patients.更多还原