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移动正念减压疗法(mMBSR(BC))对改善乳腺癌幸存者症状的可行性研究。

Feasibility of the mobile mindfulness-based stress reduction for breast cancer (mMBSR(BC)) program for symptom improvement among breast cancer survivors.

机构信息

College of Nursing, University of South Florida, Tampa, FL, USA.

Moffitt Cancer Center and Research Institute, Tampa, FL, USA.

出版信息

Psychooncology. 2018 Feb;27(2):524-531. doi: 10.1002/pon.4491. Epub 2017 Aug 8.

DOI:10.1002/pon.4491
PMID:28665541
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7771353/
Abstract

OBJECTIVE

The purpose of this pilot study was to test the feasibility of delivering the mobile mindfulness-based stress reduction for breast cancer (mMBSR(BC)) program using an iPad and to evaluate its impact on symptom improvement.

METHODS

A single group, pre-posttest design was implemented among female stages 0-III breast cancer survivors (BCS) who completed treatment. Data were collected at baseline and week 6 on measures of psychological and physical symptoms and quality of life. The mMBSR(BC) program is a standardized, stress-reducing intervention that combines sitting and walking meditation, body scan, and yoga and is designed to deliver weekly 2-hour sessions for 6 weeks using an iPad.

RESULTS

The mean age of the 15 enrolled BCS was 57 years; one participant was non-Hispanic black, and 14 were non-Hispanic white. Of the 13 who completed the study, there were significant improvements from baseline to 6 weeks post-mMBSR(BC) in psychological and physical symptoms of depression, state anxiety, stress, fear of recurrence, sleep quality, fatigue, and quality of life (P's < .05). Effect sizes for improvements of multiple symptoms ranged from medium to large.

CONCLUSIONS

These results provide preliminary support that the mMBSR(BC) program may be feasible and acceptable, showing a clinical impact on decreasing psychological and physical symptoms. This mobile-based program offers a delivery of a standardized MBSR(BC) intervention to BCS that is convenient for their own schedule while decreasing symptom burden in the survivorship phase after treatment for breast cancer.

摘要

目的

本初步研究旨在测试使用 iPad 提供移动正念减压乳腺癌(mMBSR(BC))方案的可行性,并评估其对症状改善的影响。

方法

采用单组前后测试设计,纳入已完成治疗的 0-III 期女性乳腺癌幸存者(BCS)。在基线和第 6 周时,使用心理和生理症状及生活质量的测量工具收集数据。mMBSR(BC)方案是一种标准化的减压干预措施,结合坐式和行走冥想、身体扫描和瑜伽,旨在使用 iPad 每周提供 2 小时的 6 周课程。

结果

15 名入组的 BCS 平均年龄为 57 岁;1 名参与者为非西班牙裔黑人,14 名为非西班牙裔白人。在完成研究的 13 名参与者中,从基线到 mMBSR(BC)后 6 周,抑郁、状态焦虑、压力、复发恐惧、睡眠质量、疲劳和生活质量的心理和生理症状均有显著改善(P 值均<.05)。多个症状改善的效应量从中等到大不等。

结论

这些结果初步支持 mMBSR(BC)方案可能是可行且可接受的,对降低心理和生理症状具有临床影响。这种基于移动的方案为 BCS 提供了一种便利的标准化 MBSR(BC)干预措施,可减轻治疗后乳腺癌生存阶段的症状负担。

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