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正念疗法对乳腺癌患者精神幸福感的影响:一项随机对照研究。

Effect of mindfulness-based therapy on spiritual well-being in breast cancer patients: a randomized controlled study.

机构信息

Faculty of Nursing, Department of Nursing, Department of Surgical Diseases Nursing, Ankara University, Ankara, Turkey.

KTO Karatay University School of Health Sciences Department of Nursing, Konya, Turkey.

出版信息

Support Care Cancer. 2023 Jul 3;31(7):438. doi: 10.1007/s00520-023-07904-2.

DOI:10.1007/s00520-023-07904-2
PMID:37395841
Abstract

BACKGROUND

Spiritual well-being is directly related to the quality of life in breast cancer patients. Mindfulness-based therapy interventions can decrease distress levels in women with breast cancer, while improving spiritual well-being.

OBJECTIVE

To investigate the effect of mindfulness-based therapy on spiritual well-being in breast cancer patients.

METHODS

This randomized controlled clinical trial was conducted in accordance with the Consolidated Standards of Reporting Trials. A total of 70 participants were enrolled from September, 2021 to July, 2022. Primary outcome included spiritual well-being, and secondary outcome included quality of life. The data were collected using the Patient Sociodemographic and Medical Data Form and Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (SpWB) (FACIT-Sp Version 4). In the statistical analysis, the independent sample t test and paired sample t test were used to examine the intervention effect on primary and secondary outcomes, according to numbers, percentage, mean, standard deviation, and conformity to normal distribution.

RESULTS

The average age of the therapy group was 42.22 ± 6.86, and the control group was 41.64 ±  6.04. The average score of meaning (12.25 ± 3.03), overall score average of the spiritual well-being (31.56 ± 8.90), the emotional well-being (13.46 ± 5.78) and physical well-being (16.71 ± 5.59), and overall average score of the quality of life (66.98 ± 17.72) of the therapy group was statistically significantly higher (p < 0.05).

CONCLUSION

The mindfulness-based training may enhance the spiritual well-being and quality of life of breast cancer patients. Nurses should be encouraged for mindfulness-based training sessions to make it a widespread practice, and to regularly evaluate the results.

TRIAL REGISTRATION

NCT05057078 (date: September 27, 2021).

摘要

背景

精神幸福感与乳腺癌患者的生活质量直接相关。基于正念的治疗干预可以降低乳腺癌女性的痛苦水平,同时改善精神幸福感。

目的

探究基于正念的疗法对乳腺癌患者精神幸福感的影响。

方法

本随机对照临床试验符合 CONSORT 报告标准进行。2021 年 9 月至 2022 年 7 月共纳入 70 名参与者。主要结局包括精神幸福感,次要结局包括生活质量。使用患者社会人口学和医学数据表以及慢性疾病治疗的功能评估-精神幸福感量表(FACIT-Sp 第 4 版)收集数据。在统计分析中,根据数字、百分比、平均值、标准差和正态分布的一致性,使用独立样本 t 检验和配对样本 t 检验来检验干预对主要和次要结局的影响。

结果

治疗组的平均年龄为 42.22 ± 6.86 岁,对照组为 41.64 ± 6.04 岁。意义平均分(12.25 ± 3.03)、精神幸福感总分平均分(31.56 ± 8.90)、情感幸福感平均分(13.46 ± 5.78)和身体幸福感平均分(16.71 ± 5.59),以及生活质量总分平均分(66.98 ± 17.72)治疗组均显著较高(p < 0.05)。

结论

基于正念的训练可能会提高乳腺癌患者的精神幸福感和生活质量。应鼓励护士进行基于正念的训练课程,使其成为广泛的实践,并定期评估结果。

试验注册

NCT05057078(日期:2021 年 9 月 27 日)。

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