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正念干预、同质化医疗理念及浓缩解决方案护理对结直肠癌患者的影响:一项回顾性研究。

Mindfulness intervention, homogeneous medical concept, and concentrated solution nursing for colorectal cancer patients: a retrospective study.

机构信息

Physical Examination Center, The First Affiliated Hospital of Hebei North University, Zhangjiakou, 075000, China.

Hospital Office, The First Affiliated Hospital of Hebei North University, Zhangjiakou, 075000, China.

出版信息

BMC Cancer. 2024 Aug 27;24(1):1055. doi: 10.1186/s12885-024-12508-y.

Abstract

OBJECTIVE

We aim to explore the differences of the psychological distress of postoperative chemotherapy patients with colorectal cancer between mindfulness intervention combined with homogeneous medical concepts and mindfulness intervention only.

METHODS

One hundred patients with colorectal cancer undergoing chemotherapy after surgery from Sep 2020 to Sep 2022 were enrolled and divided into active control group (Solution centered nursing interventions; homogenized medical and nursing professional teams; dedicated personnel responsible for "admission notices"; Regular follow-up after discharge) and mindfulness group (homogeneous medical concept + and concentrated solution + Mindfulness intervention) with 50 cases in each group according to different nursing methods.

RESULTS

After nursing, the physical function, emotional function, cognitive function, and social function of the patients in the mindfulness group were significantly higher than those in the active control group. However, the overall life and economic difficulties of the patients in the mindfulness group were significantly lower than those in the active control group (P < 0.05). After nursing, the observation score, description score, action score, intrinsic experience score, non-judgment score and non-reaction score of the mindfulness group were significantly higher than those of the active control group (P < 0.05).

CONCLUSION

The implementation of mindfulness intervention in colorectal cancer patients undergoing chemotherapy can alleviate the patients' negative emotions, improve the level of mindfulness, and improve the quality of life of patients.

摘要

目的

探索正念干预联合同质化医学理念与单纯正念干预对结直肠癌术后化疗患者心理困扰的差异。

方法

选取 2020 年 9 月至 2022 年 9 月间收治的 100 例行术后化疗的结直肠癌患者,根据不同护理方法分为主动对照组(解决方案为以护理为中心的护理干预;同质化医学护理专业团队;专人负责“入院通知单”;出院后定期随访)和正念组(同质化医学理念+集中解决方案+正念干预),每组 50 例。

结果

护理后,正念组患者的生理功能、情绪功能、认知功能和社会功能均显著高于主动对照组,而正念组患者的整体生活和经济困难显著低于主动对照组(P<0.05)。护理后,正念组患者的观察评分、描述评分、行动评分、内在体验评分、不评判评分和不反应评分均显著高于主动对照组(P<0.05)。

结论

对行化疗的结直肠癌患者实施正念干预,可减轻患者的负性情绪,提高正念水平,改善患者的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4470/11348521/0d300ab95279/12885_2024_12508_Fig2_HTML.jpg

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