Matchim Yaowarat, Armer Jane M, Stewart Bob R
Prince of Songkla University, Hat Yai, Thailand.
West J Nurs Res. 2011 Dec;33(8):996-1016. doi: 10.1177/0193945910385363. Epub 2010 Oct 18.
The purpose of this study was to examine the effects of a MBSR program on physiological and psychological outcomes among early-stage breast cancer survivors. A quasi-experimental, pre-and posttest control group design was selected. The intervention group received the MBSR intervention. The control group received no MBSR intervention. ANOVA and ANCOVA were used to analyze data. The intervention group demonstrated statistically significant improvement in physiological and psychological outcomes including reduced blood pressure, heart rate, and respiratory rate and increased mindfulness state at the level of p = .05 to p = .001. The effects of MBSR on reducing stress in this sample were statistically significant on the physiological outcome (morning cortisol) at the measurement after the intervention completion, but this effect was not sustained at 1-month follow-up. MBSR showed a trend toward improving psychological outcomes by reducing mood disturbance in this sample.
本研究的目的是检验正念减压疗法(MBSR)项目对早期乳腺癌幸存者生理和心理状况的影响。研究采用了准实验、前后测对照组设计。干预组接受MBSR干预,对照组未接受MBSR干预。使用方差分析(ANOVA)和协方差分析(ANCOVA)对数据进行分析。干预组在生理和心理状况方面表现出具有统计学意义的改善,包括血压、心率和呼吸频率降低,以及正念状态增强,p值在0.05至0.001之间。MBSR对该样本减轻压力的影响在干预完成后的测量中对生理指标(早晨皮质醇)具有统计学意义,但在1个月随访时这种效果未持续。MBSR在该样本中显示出通过减少情绪干扰来改善心理状况的趋势。