针对癌症患者的正念与慈悲项目的益处:西班牙一家公立医院的经验
Benefits of a mindfulness and compassion program for cancer patients: experience in a Spanish public hospital setting.
作者信息
Arredondo Marcial, Mestanza Ferran, Carpio Ruth, Escarrabill Joan, López-Solà Clara, Palou Eva, Acosta Lesly, Fernández Laia, Vilas-Riotorto Vanesa, Sauri Tamara, Mellado Begoña
机构信息
Medical Oncology Department, ONCOR Program, Hospital Clínic Barcelona, Barcelona, Spain.
Institut d'Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Barcelona, Spain.
出版信息
Clin Transl Oncol. 2025 Apr 17. doi: 10.1007/s12094-025-03913-1.
BACKGROUND
Mindfulness-based interventions have been shown to improve the quality of life of cancer patients and are widely recommended.
METHODS
This was a non-randomized, single-center study designed to assess the feasibility and benefits of a mindfulness and compassion program for individuals living with cancer (MCP-C). The primary objective was to evaluate the feasibility of the program, while the secondary objective was to assess its effectiveness in adult cancer patients and their relatives. Before and after completing the program, participants completed the 12-item General Health Questionnaire (GHQ- 12) and the Hospital Anxiety and Depression Scale (HADS). A qualitative study was also conducted using focus groups and a structured qualitative survey.
RESULTS
A total of eight courses were delivered, six in person in 2019 and two online in 2020. A total of 153 participants were enrolled, of whom 142 were considered evaluable. Among them, 90 (64.3%) completed the program, including 75 patients (83.3%) and 15 relatives. The intervention was associated with significant reductions (p < 0.01) in mean scores on the GHQ- 12 and the HADS-A and HADS-D subscales. In the qualitative assessment, participants reported multiple benefits, including increased awareness of health-related decision-making, improved relationship with the disease, a sense of companionship, emotional support, and overall enhancements in daily life.
CONCLUSIONS
Implementing an 8-week mindfulness and self-compassion program within the routine practice of a public hospital was feasible and led to significant improvements in the psychological well-being of cancer patients and their relatives.
背景
基于正念的干预措施已被证明可改善癌症患者的生活质量,并得到广泛推荐。
方法
这是一项非随机、单中心研究,旨在评估针对癌症患者的正念与慈悲项目(MCP-C)的可行性和益处。主要目标是评估该项目的可行性,次要目标是评估其对成年癌症患者及其亲属的有效性。在完成项目前后,参与者完成了12项一般健康问卷(GHQ-12)和医院焦虑抑郁量表(HADS)。还使用焦点小组和结构化定性调查进行了定性研究。
结果
共开设了八门课程,2019年有六门面授课程,2020年有两门在线课程。共招募了153名参与者,其中142名被认为可进行评估。其中,90名(64.3%)完成了该项目,包括75名患者(83.3%)和15名亲属。干预与GHQ-12以及HADS-A和HADS-D子量表的平均得分显著降低(p < 0.01)相关。在定性评估中,参与者报告了多项益处,包括提高对健康相关决策的认识、改善与疾病的关系、陪伴感、情感支持以及日常生活的整体改善。
结论
在公立医院的日常实践中实施为期8周的正念与自我慈悲项目是可行的,并显著改善了癌症患者及其亲属的心理健康。