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一项针对早期乳腺癌幸存者的正念减压计划的可行性。

Feasibility of a mindfulness-based stress reduction program for early-stage breast cancer survivors.

作者信息

Lengacher Cecile A, Johnson-Mallard Versie, Barta Michelle, Fitzgerald Shirley, Moscoso Manolete S, Post-White Janice, Jacobsen Paul B, Molinari Shelton Melissa, Le Nancy, Budhrani Pinky, Goodman Matthew, Kip Kevin E

机构信息

University of South Florida, College of Nursing, MDC 22, 12901 Bruce B. Downs Boulevard, Tampa, FL 33612-4476, USA.

出版信息

J Holist Nurs. 2011 Jun;29(2):107-17. doi: 10.1177/0898010110385938. Epub 2010 Nov 1.

Abstract

PURPOSE

To assess the feasibility of whether mindfulness-based stress reduction (MBSR) has a positive effect on breast cancer survivors' psychological status, psychosocial characteristics, symptoms, and quality of life (QOL) during the critical transition period from end of treatment to resumption of daily activities.

DESIGN

Single-group, quasi-experimental, pretest-posttest design.

METHOD

A sample of 19 women who completed breast cancer treatment with lumpectomy, radiation, and/or chemotherapy was recruited from the Moffitt Cancer Center and Research Institute, a National Cancer Institute- designated cancer center, and the University of South Florida. The authors assessed the feasibility, compliance, and whether an 8-week MBSR program positively influenced changes in psychological status (fear of recurrence, perceived stress, anxiety, depression), psychosocial characteristics (optimism, social support, spirituality), physical symptoms, and QOL.

FINDINGS

Seventeen women (89.5%) completed the study. The mean age was 57 years; the majority of participants (94%) were White. The estimated compliance rate for the program was 67%. Paired t tests indicated significant improvements fear of recurrence, perceived stress, anxiety, depression, and QOL through MBSR participation.

CONCLUSIONS

Participants enrolled in the MBSR classes generally were compliant. Significant improvement in psychological status, symptoms, and QOL can be achieved with MBSR use in this population.

摘要

目的

评估基于正念减压疗法(MBSR)在乳腺癌幸存者从治疗结束到恢复日常活动的关键过渡期对其心理状态、心理社会特征、症状及生活质量(QOL)是否具有积极影响的可行性。

设计

单组准实验性前后测设计。

方法

从莫菲特癌症中心及研究所(一所由美国国立癌症研究所指定的癌症中心)和南佛罗里达大学招募了19名完成了乳房肿瘤切除术、放疗和/或化疗的乳腺癌治疗女性样本。作者评估了可行性、依从性,以及为期8周的MBSR项目是否对心理状态(对复发的恐惧、感知压力、焦虑、抑郁)、心理社会特征(乐观、社会支持、精神性)、身体症状和生活质量的变化产生积极影响。

结果

17名女性(89.5%)完成了研究。平均年龄为57岁;大多数参与者(94%)为白人。该项目的估计依从率为67%。配对t检验表明,通过参与MBSR,在对复发的恐惧、感知压力、焦虑、抑郁和生活质量方面有显著改善。

结论

参加MBSR课程的参与者总体上依从性良好。在这一人群中使用MBSR可显著改善心理状态、症状和生活质量。

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