中国健康心理学杂志2026，Vol.34Issue(1)：46-50,5.DOI:10.13342/j.cnki.cjhp.2026.01.009
正念减压训练在急性白血病化疗期患者心境状态管理及不良症状的应用
Application of mindfulness—based stress reduction training in anxiety level and bleeding risk management of patients with acute leukemia undergoing chemotherapy
摘要
Abstract
Objective:To study the application effect of mindfulness-based stress reduction training on anxiety lev-els and bleeding risk management in patients with acute leukemia undergoing chemotherapy.Methods:A total of 212 patients with chemotherapy phase of acute leukemia in Henan Cancer Hospital from January 2022 to December 2024 were collected as the research subjects.They were randomly divided into a study group and a control group,with 106 patients in each group.The control group patients received routine intervention,research group patients received mindfulness-based stress reduction training intervention.Both groups received nursing care for 6 weeks.After 6 weeks of nursing,the psychological status scores[PANAS,HAMA,HAMD],symptom scores(anemia,fever,bleed-ing),degree of bone marrow suppression,and incidence of complications were compared between the two groups of patients.Results:After 6 weeks of nursing care,positive emotion scores had all increased,while negative emotion scores,HAMA scores,and HAMD scores had all decreased in both groups,and the positive emotion score of the re-search group was higher than that of the control group,while the negative emotion score,HAMA score,and HAMD score were all lower than those of the control group(t=2.045,-2.087,-2.191,-2.029;P＜0.05);After 6 weeks of nursing care,anemia,fever,and bleeding scores all decreased in both groups,and the research group was lower than the control group(t=-2.296,-2.078,-2.334;P＜0.05);After 6 weeks of nursing care,the levels of ALB,PA,and TRF in both groups increased,with the study group showing better ALB,PA,and TRF levels than the control group(t=2.112,20.494,3.123;P＜0.05);The incidence of complications in the research group was lower than that in the control group(x2=4.327,P＜0.05).Conclusion:MBSR can effectively reduce anxiety and depression in patients with acute leukemia during chemotherapy,improve their nutritional status,and reduce the risk of bleeding and adverse re-actions.关键词
急性白血病/化疗期/正念减压训练/积极消极情感量表/出血风险Key words
Acute leukemia/Chemotherapy period/Mindfulness-based stress reduction/PANAS/Bleeding分类
医药卫生引用本文复制引用
李妍姿,马春霞,刘利红..正念减压训练在急性白血病化疗期患者心境状态管理及不良症状的应用[J].中国健康心理学杂志,2026,34(1):46-50,5.基金项目
河南省医学科技攻关计划项目(编号:LHGJ20230102) （编号:LHGJ20230102）
