线上正念减压训练对术后乳腺癌患者心理健康的影响

Effect of online mindfulness-based stress reduction training on mental health of postoperative

摘要:

目的 观察线上正念减压训练对乳腺癌术后患者心理健康的效果。方法 选取2019年10月-2021年 6月在鞍山市肿瘤医院乳腺外科住院的乳腺癌术后患者为研究对象，采用韧性和自我效能量表、恐惧疾病进展量表 和创伤后成长量表评价患者积极心理、负性心理和创伤后成长水平。将患者分为实验组和对照组，每组95例；两组 均接受常规护理，实验组接受8周线上正念减压训练；干预前、干预后及3个月随访比较两组患者积极心理、负性心 理和创伤后成长得分情况。结果 实验组干预后积极心理资源（韧性、自我效能）得分均高于干预前；负性心理（恐 惧疾病进展、抑郁）得分均低于干预前；创伤后成长及其欣赏生活、新可能性、个人力量、精神变化、人际关系得分高 于干预前（均P <0.05）。在3个月随访中，实验组的自我效能、韧性以及创伤后成长得分均高于对照组，恐惧疾病、 抑郁得分低于对照组（P <0.001）。结论 线上正念减压训练可有效提升乳腺癌患者的积极心理水平，缓解负性心 理，促进创伤后成长水平。

Abstract:

: Objective To observe the effect of online mindfulness-based stress reduction (MBSR) training on mental health of postoperative patients with breast cancer. Methods Postoperative patients with breast cancer were randomly divided into experimental and control groups, with 95 cases in each group. Both groups received conventional nursing, and 8 weeks of online MBSR training were added in experimental group. The scores of positive/negative psychology and post-traumatic growth were compared between two groups before/after intervention and at 3-month follow-up. Results In experimental group, scores of positive psychological resources (resilience, self-efficacy), post-traumatic growth, appreciation of life, new possibilities, personal strength, spiritual change, and interpersonal relationship were higher, while scores of negative psychology (fear of disease progression, depression) were lower after intervention (P <0.05). Compared with control group, scores of self-efficacy, resilience and post-traumatic growth were increased, and scores of nosophobia and depression decreased in experimental group (P <0.001). Conclusion Online MBSR training can effectively improve the positive psychological level, alleviate negative psychological level, and promote post-traumatic growth level in postoperative patients with breast cancer.