【摘要】 目的探讨正念减压疗法对肺癌同步放化疗患者的心理状况和生活质量的影响。方法选取2018年1月至2018年12月于我院进行同步放化疗的92例肺癌患者(剔除不耐受放化疗患者)作为研究对象,按随机数字表法将其分为观察组(43例,正念减压疗法)与对照组(41例,常规心理护理)。比较两组患者的心理痛苦情况、心理状态和日常生活能力。结果干预前,两组患者的DT、SAS、SDS以及ADL评分比较,差异无统计学意义(P>0.05)。干预后,观察组患者的DT评分显著低于对照组及干预前(P<0.05)。干预后,两组患者的SAS、SDS及ADL评分均低于干预前,且观察组显著低于对照组(P<0.05)。结论正念减压疗法可有效减轻肺癌同步放化疗患者的心理痛苦程度,调整其心理状态,并提高生活质量,值得临床借鉴应用。更多还原

【Abstract】 Objective To explore the effect of mindfulness-based stress reduction on psychological status and quality of life of patients with lung cancer undergoing concurrent chemoradiotherapy. Methods A total of 92 patients(exclusion of patients with intolerance to radiotherapy and chemotherapy) with lung cancer undergoing concurrent chemoradiotherapy in our hospital from January 2018 to December 2018 were selected as the sutdy objects and divided into observation group(43 cases, mindfulness-based stress reduction) and control group(41 cases, routine psychological nursing) according to random number table method. The degree of psychdogical distress, psychdogical state and daily living ability were compared between the two groups. Results Before intervention, there were no significant differences in the scores of DT, SAS, SDS and ADL between the two groups( P >0.05). After intervention,the DT score of the observation group was significantly lower than that of the control group and before intervention(P <0.05). After intervention, the scores of SAS, SDS and ADL in the two groups were lower than those before intervention, and those of the observation group were significantly lower than the control group(P <0.05). Conclusion Mindfulness-based stress reduction can effectively alleviate the degree of psychological distress of patients with lung cancer undergoing concurrent chemoradiotherapy, adjust their psychological state and improve their quality of life, which is worthy of clinical reference and application.更多还原