【摘要】 目的：评估正念冥想与全病程管理模式在缓解乳腺癌患者病耻感及提升其适应能力方面的效果。方法：前瞻性选取2021年6月至2024年6月期间新诊断的108例乳腺癌病例，随机分配为实验组与对照组，每组含54例。对照组仅采用常规治疗与护理，实验组在对照组基础上实施正念冥想练习与全病程管理。观测指标包括病耻感、适应能力、心理健康状况、生活质量及医疗资源使用情况。结果：干预前，两组患者病耻感量表（PESQ量表）得分差异无统计学意义，但干预后实验组得分显著低于对照组（t=9.033,4.698,6.510,5.309,5.332;P<0.05）；干预前适应能力量表（ACS量表）评分两组差异无统计学意义，干预后实验组评分高于对照组（t=5.116,6.195,5.122,5.778,4.779;P<0.05）;SCL-90量表评分干预前两组差异无统计学意义，干预后实验组评分低于对照组（t=4.435,5.530,2.589,3.464,2.060,4.435,2.669,13.902,4.512;P<0.05）；世界卫生组织生活质量量表（WHOQOL-BREF量表）评分干预前差异无统计学意义，干预后实验组评分高于对照组（t=4.511,6.259,7.061,6.193,7.183;P<0.05）；实验组的住院和门诊就诊次数也较对照组减少（t=6.541,8.494;P<0.05）。结论：整合正念冥想与全病程管理对乳腺癌患者病耻感、适应能力、生活质量产生广泛而积极的作用，且可减少患者住院和门诊的次数。更多还原

【Abstract】 Objective:To evaluate the effect of mindfulness meditation and whole course management model on alleviating the stigma of breast cancer patients and improving their adaptability.Methods:A total of 108 newly diagnosed breast cancer cases from June 2021 to June 2024 were randomly assigned to the test group and the control group,with 54 cases in each group.The control group only used conventional treatment and care,and the experimental group implemented positve thinking meditation practice and total disease management on the basis of the contral group.The observation indicators cover shame,adaptability,mental health status,quality of life,and utilization of medical resources.Results:Before the intervention,There was no significant difference in the PESQ scale scores between the two groups,However,the score of the experimental group was lower than that of the control group after the intervention(t=9.033,4.698,6.510,5.309,5.332;P<0.05);ACS scale scores was not different between the two groups,The score of the experimental group was higher than that of the control group(t=5.116,6.195,5.122,5.778,4.779;P<0.05);There was no difference in the SCL-90 scale score before the intervention,The score of the experimental group was lower than that of the control group after the intervention(t=4.435,5.530,2.589,3.464,2.060,4.435,2.669,13.902,4.512;P<0.05);There was no difference in WHOQOL-BREF scale score before the intervention,After the intervention,the experimental group score was higher than that of the control group(t=4.511,6.259,7.061,6.193,7.183;P<0.05);The number of hospital and outpatient visits in the experimental group also decreased than that in the control group(t=6.541,8.494;P<0.05).Conclusion:The integration of mindfulness meditation and whole course management has a wide and positive effect on breast cancer patients,which is worth popularizing.更多还原