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基于正念减压训练对喉癌患者负面情绪及社会功能的影响。

Effects of mindfulness-based stress reduction training on the negative emotions and social functioning of patients with laryngeal cancer.

作者信息

Yin Lingxue

机构信息

Department of Otolaryngology-Head and Neck Surgery, Capital Medical University Affiliated Beijing Shijitan Hospital, Beijing, 100038, China.

出版信息

Clin Transl Oncol. 2025 Apr;27(4):1760-1766. doi: 10.1007/s12094-024-03622-1. Epub 2024 Sep 6.

DOI:10.1007/s12094-024-03622-1
PMID:39240305
Abstract

OBJECTIVE

To explore the influence of mindfulness-based stress reduction (MBSR) training on the negative emotions and social functioning of patients with laryngeal cancer post-operation.

METHODS

Sixty-five patients with laryngeal cancer admitted to our hospital from January 2017 to December 2019 were selected and divided into an observation group of 33 cases and a control group of 32 cases according to the patient's wishes. The control group received routine intervention, while the observation group received mindfulness decompression training in addition to the control group. Both groups were evaluated after 8 weeks of intervention. The research tools included the self-rating anxiety scale (SAS), self-rating depression scale (SDS), Pittsburgh Sleep Quality Index (PSQI), Social Disability Screening Schedule (SDSS), Social Support Rating Scale (SSRS), and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (QLQ-C30), all of the scores of them were used to verify the foregoing scale. The effects of MBSR were evaluated by the differences between the post- and pre-intervention scores in each scale. T-test was used for mean comparison and Pearson test was used for rate comparison χ2 inspection.

LITERATURE REVIEW

Patients will have negative emotions during the surgical treatment of laryngeal malignancies (Literature 1), which will affect their mental health (literature 2, 3, 4, 5, 6, 7). Mindfulness decompression training (literature 10, 11) can reduce the depression and anxiety of patients with malignant tumors (literature 14, 15). According to the inclusion criteria and exclusion criteria (literature 16 and 17), two groups of patients were selected in this study, and the scores were obtained using research tools including SAS (literature 19), SDS (literature 20), PSQI (literature 21), SDSS (literature 22) and QLQ-C30 (literature 24 and 25). The effect of MBSR was evaluated by the difference before and after the intervention scores in each scale.

RESULTS

After the intervention, the scores of the SAS and SDS in the two groups were lower than before (P < 0.05), the PSQI score of the two groups was lower than before (P < 0.05), the SDSS score of the two groups was lower than before (P < 0.05), and the scores of the QLQ-C30 in the two groups were higher than before intervention (P < 0.05).

CONCLUSION

Mindfulness-based stress reduction training can reduce the negative emotions of patients with laryngeal cancer and improve their quality of sleep, social functioning, and quality of life. It is worthy of clinical application.

摘要

目的

探讨基于正念减压疗法(MBSR)的训练对喉癌术后患者负面情绪及社会功能的影响。

方法

选取2017年1月至2019年12月我院收治的65例喉癌患者,根据患者意愿分为观察组33例和对照组32例。对照组接受常规干预,观察组在对照组基础上接受正念减压训练。两组干预8周后进行评估。研究工具包括焦虑自评量表(SAS)、抑郁自评量表(SDS)、匹兹堡睡眠质量指数(PSQI)、社会功能缺陷筛选量表(SDSS)、社会支持评定量表(SSRS)以及欧洲癌症研究与治疗组织生活质量问卷(QLQ-C30),所有量表得分用于验证上述量表。通过各量表干预前后得分的差异评估MBSR的效果。采用t检验进行均值比较,Pearson检验进行率比较,χ2检验。

文献综述

喉恶性肿瘤手术治疗期间患者会出现负面情绪(文献1),这会影响其心理健康(文献2、3、4、5、6、7)。正念减压训练(文献10、11)可减轻恶性肿瘤患者的抑郁和焦虑(文献14、15)。根据纳入标准和排除标准(文献16和17),本研究选取两组患者,使用包括SAS(文献19)、SDS(文献20)、PSQI(文献21)、SDSS(文献22)和QLQ-C30(文献24和25)在内的研究工具获取得分。通过各量表干预前后得分的差异评估MBSR的效果。

结果

干预后,两组的SAS和SDS得分均低于干预前(P<0.05),两组的PSQI得分低于干预前(P<0.05),两组的SDSS得分低于干预前(P<0.

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