二元应对联合正念干预对肺癌患者生活质量及负性情绪的影响OA
Effects of Dyadic Coping Combined with Mindfulness-based Interventions on Quality of Life and Neg-ative Emotions in Patients with Lung Cancer
目的 探讨二元应对联合正念干预对肺癌患者生活质量和负性情绪的影响,旨在为提高肺癌患者生活质量提供参考.方法 2022年8月至2023年2月,采用方便抽样方法,选取于华北理工大学附属医院和唐山市工人医院接受胸腔镜根治术的99例肺癌患者及其配偶作为研究对象.采用抽签法将患者及其配偶分为对照组、二元应对组和二元应对联合正念组(联合组),每组分别33例.比较干预前、干预后及干预后4周3组患者二元应对问卷(DCI)得分、癌症患者生活质量测定量表(EORTC QLQ-C30)得分及医院焦虑抑郁量表(HADS)得分.结果 干预前,三组DCI、EORTC QLQ-C30、HADS得分比较,差异均无统计学意义(P>0.05).干预后及干预后4周,二元应对组和联合组的DCI得分均高于对照组(P<0.05),且两组的HADS、EORTC QLQ-C30得分均低于对照组(P<0.05);同时,联合组DCI得分高于二元应对组(P<0.05),其HADS、EORTC QLQ-C30得分均低于二元应对组(P<0.05).干预后及干预后4周,3组DCI、EORTC QLQ-C30、HADS得分均优于干预前(P<0.05);干预后4周,联合组DCI、EORTC QLQ-C30、HADS得分均优于干预后(P<0.05).三组患者DCI、EORTC QLQ-C30、HADS得分变化在组间效应、时间效应及交互作用上均存在统计学意义(P<0.05).结论 二元应对联合正念干预可以有效改善肺癌患者的二元应对水平、生活质量和焦虑抑郁情况,值得临床推广及应用.
Objective To explore the effects of dyadic coping combined with mindfulness-based interventions on the quality of life and negative emotions of patients with lung cancer,aiming to provide a reference for improving the quality of life of these patients.Methods From August 2022 to February 2023,99 patients with lung cancer and their spouses were selected by convenience sampling.The patients had undergone thoracoscopic radical resection in the North China University of Science and Technology Affiliated Hospital and Tangshan Gongren Hospital.The patients and their spouses were divided into the control group(n=33),dyadic coping group(n=33)and dyadic coping+mindfulness-based interventions group(the combination group,n=33)by lottery.The scores of the Dyadic Coping Inventory(DCI),European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 items(EORTC QLQ-C30)and Hospital Anxiety and Depression Scale(HADS)before,after and four weeks after intervention were compared among the 3 groups.Results Before intervention,the scores of DCI,EORTC QLQ-C30 and HADS among the three groups were not significantly different(P>0.05).After intervention and four weeks after intervention,the DCI scores of the dyadic coping and the combination group were higher than that of the control group(P<0.05),and the HADS and EORTC QLQ-C30 scores of the two groups were lower than those of the control group(P<0.05).Meanwhile,the DCI scores of the combination group were higher than those of the dyadic coping group(P<0.05),and the HADS and EORTC QLQ-C30 scores of the combination group were lower than those of the dyadic coping group(P<0.05).In the 3 groups,the DCI,EORTC QLQ-C30 and HADS scores after intervention and four weeks after intervention were superior to those before intervention(P<0.05).In the combination group,the DCI,EORTC QLQ-C30 and HADS scores four weeks after intervention were superior to those after intervention(P<0.05).The changes in DCI,EORTC QLQ-C30 and HADS scores among the three groups of patients were statistically significant in terms of inter group effects,time effects and interactions(P<0.05).Conclusion Dyadic coping combined with mindfulness-based interventions is worthy of clinical promotion and application as it has been shown to improve dyadic coping abilities,enhance quality of life and relieve anxiety and depression in patients with lung cancer.
赵颖;孙玉倩;刘亚楠;王楠;贾雯媛;焦桂梅
华北理工大学护理与康复学院,河北 唐山 063210华北理工大学附属医院,河北 唐山 063000
临床医学
肺肿瘤二元应对正念生活质量负性情绪
Lung cancerDyadic copingMindfulnessQuality of lifeNegative emotion
《上海护理》 2024 (006)
5-10 / 6
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