Abstract：Objective To observe the application effect of incentive nursing combined with mindfulness decompression training in patients with colorectal cancer (CRC) after operation. Methods A retrospectively analysis was conducted on the data of 50 patients with CRC who underwent incentive nursing combined with mindfulness decompression training in Nanjing First Hospital, Nanjing Medical University from May 2020 to May 2021 and included in the observation group; the data of 50 patients with CRC treated with routine intervention in the hospital during the same period were collected and included in the control group. The data of patients were reviewed, the psychological status (self-rating anxiety scale [SAS], self-rating depression scale [SDS]), quality of life (WHO quality of life brief form) of the two groups were compared before and two weeks after intervention. Results After two weeks of intervention, the SAS and SDS scores of the two groups were lower than before the intervention, while the observation group was lower than the control group, and the differences were statistically significant (P ＜ 0.05). After two weeks of intervention, the environmental, social, psychological, and physiological scores of the two groups were higher than before the intervention, while the observation group was higher than the control group, and the differences were statistically significant (P ＜ 0.05). Conclusion Incentive nursing combined with mindfulness decompression training can alleviate the negative emotions of patients after CRC and is beneficial to improve their quality of life.
[1] You X，Liu Q，Wu J，et al. High versus low ligation of inferior mesenteric artery during laparoscopic radical resection of rectal cancer：A retrospective cohort study [J]. Medicine，2020，99（12）：e19437.
[2] Warren JA，Bef Fa LR，Carbonell AM，et al. Prophylactic placement of permanent synthetic mesh at the time of ostomy closure prevents formation of incisional hernias [J].Surgery，2018，163（4）：839-846.
[3] Wang F，Huang L，Zhang H，et al. The mediating role of perceived stress on the relationship between perceived social support and self-care ability among Chinese enterostomy patients [J]. Support Care Cancer，2021，29（6）：3155-3162.
[4] 王宇，李燕，王承志，等.个性化护理干预对结直肠癌患者术后心理状态和生活质量的影响[J].河北医药，2017， 39（11）：1749-1751.
[5] 王凌娜.激励式护理对永久性肠造口患者自我护理能力及生活质量的影响[J].中华现代护理杂志，2018，24（35）：4257-4261.
[6] Gawande R，To MN，Pine E，et al. Mindfulness Training Enhances Self-Regulation and Facilitates Health Behavior Change for Primary Care Patients：a Randomized Controlled Trial [J]. J Gen Intern Med，2019，34（2）：293-302.
[7] 中华人民共和国卫生和计划生育委员会医政医管局，中华医学会肿瘤学分会.中国结直肠癌诊疗规范（2017年版）[J].中华外科杂志，2018，56（4）：241-258.
[8] 段泉泉，胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志，2012，26（9）：676-679.
[9] 王明航，李建生，李素云，等.世界卫生组织生存质量测定量表简表用于老年肺炎的信度、效度和反应度[J].中医杂志，2010，51（11）：984-986.
[10] Zhao F，Chen F，Yuan X，et al. Decreased collagen type Ⅰ~Ⅱ synthesis in skin fibroblasts isassociated with parastomal hernia following colostomy [J]. Int J Mol Med，2019， 44（5）：1609-1618.
[11] 李芬丽，刘利.协同护理模式对直肠癌根治术患者自我护理能力,造口皮肤并发症及适应水平的影响[J].贵州医药，2020，44（9）：1500-1501.
[12] Wong MC，Ching J，Chan VC，et al. Association of Interactive Reminders and Automated Messages With Persistent Adherence to Colorectal Cancer Screening：A Randomized Clinical Trial [J]. JAMA Oncol，2017，3（9）：1281-1283.
[13] Almodóvar-Fernandez I，Sánchez-Thevenet P，Benito A，et al. The effectiveness of a brief motivational nursing intervention to reduce psychoactive substance consumption in entertainment-sector workers：A transversal，observation，and semi-experimental study [J]. Int J Ment Health Nurs，2019，28（5）：1090-1098.
[14] Taren AA，Gianaros PJ，Greco CM，et al. Mindfulness Meditation Training and Executive Control Network Resting State Functional Connectivity：A Randomized Controlled Trial [J]. Psychosom Med，2017，79（6）：674-683.
[15] 王建丽，何爱莲，夏伶俐，等.正念减压训练对乳腺癌术后患者创伤后成长和生存质量的影响[J].中华现代护理杂志，2019，25（12）：1495-1499.
[16] 程艳，汤华军.正念冥想训练对结直肠癌手术患者焦虑抑郁及应对方式的影响[J].医学临床研究，2018，35（4）：666-668.
[17] 张立萍，兰晶.正念减压训练对恶性肿瘤病人负性情绪的影响[J].护理研究，2017，31（8）：1021-1022.
[18] 龚湖萍，魏清风，张世慧，等.正念减压训练对肠造口患者睡眠质量和生活质量影响的效果评价[J].护理学报，2017，24（6）：5-8.
[19] 韩正风，裴祺，邵林静.基于激励理论的动机性访谈对直肠癌术后肠造口患者疾病认知水平及自我管理能力的影响[J].医学临床研究，2018，35（2）：281-283，287.
[20] 刁素娟，莫冬莲.激励干预对腹腔镜下直肠癌术后永久结肠造口患者自我效能及生活质量的影响[J].现代中西医结合杂志，2018，27（30）：3401-3404.
[21] 李洪娟，汪秀云，刘霞，等.正念减压疗法对永久性肠造口病人病耻感、焦虑抑郁及生活质量的影响[J].安徽医药，2019，23（8）：1608-1613.
[22] 任雁娟，林小敏.正念认知疗法在抑郁症患者日常护理中的应用[J].中国医药导报，2016，13（34）：174-177.
[23] 卞龙艳，陈晓玲.激励式护理对直肠癌术后永久性结肠造口病人自我护理能力及生活质量的影响[J].护理研究，2017，31（1）：90-92.
[24] 易小华.激励干预改善直肠癌患者围术期身心状态的效果观察[J].结直肠肛门外科，2019，25（1）：113-117.
[25] 韦静，赵亚娥.围术期正念干预对大肠癌患者术后负面情绪及自我效能感和自我护理能力的影响[J].中国肿瘤临床与康复，2019，26（12）：1526-1529.
京公网安备 11010502046598号