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| Effect of problem oriented nursing intervention combined with mindfulness decompression training on patients after radical gastrectomy#br# |
| LI Qian1 SUN Lianhong2 SHA Jiamei3▲ |
1.Operating Room, Qingdao Municipal Hospital, Shandong Province, Qingdao 266002, China;
2.Sterilization and Supply Center, Qingdao Municipal Hospital, Shandong Province, Qingdao 266002, China;
3.Qingdao Municipal Hospital, Shandong Province, Qingdao 266002, China |
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Abstract Objective To analyze the nursing effect of problem-based nursing intervention combined with mindfulness decompression training for patients with gastric cancer after radical gastrectomy. Methods The medical records of 100 patients receiving conventional care after radical gastrectomy in Qingdao Municipal Hospital of Shandong Province from January 2017 to June 2018 were retrospectively analyzed as the control group. During the same period, medical records of 100 patients after radical gastrectomy who received conventional nursing + problem-oriented nursing intervention combined with mindfulness decompression training from July 2018 to January 2020 were included as observation group. The stress perception scale (CPSS) and mindful attention awareness scale (MAAS) were used to assess the levels of stress and mindfulness before and at six weeks of intervention. At each time point, self-rating anxiety scale (SAS) and Hamilton depression scale (HAMD) were used to evaluate the degree of anxiety and depression. At six weeks of intervention, nursing satisfaction was recorded and compared between the two groups. Results After six weeks of intervention, the CPSS score of both groups was decreased than that before intervention, and the MAAS score was increased than that before intervention, and the CPSS score of the observation group was lower than that of the control group, and the MAAS score was higher than that of the control group, with statistical significant differences (P ＜ 0.05); after six weeks of intervention, the SAS and HAMD scores of both groups were decreased than those before intervention, and the observation group was lower than the control group, with statistical significant differences (P ＜ 0.05); the total nursing satisfaction rate of the observation group was higher than that of the control group, with a statistical significant difference (P ＜ 0.05). Conclusion Problem oriented nursing intervention combined with mindfulness decompression training can improve the mindfulness level of patients after radical gastrectomy, improve the psychological state, reduce the pressure of patients, and the nursing satisfaction of patients is high.
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[1] 廖春艳，崔飞博，樊慧，等.基于自我效能理论的健康教育干预对胃癌患者生活质量的影响[J].中国医药导报，2019，16（26）：156-159.
[2] 贾占花.基于微信平台的延续性护理干预在胃癌根治术后患者中的应用效果[J].中华现代护理杂志，2018，24（25）：3043-3046.
[3] 李莹.以问题为导向的护理干预对腹腔镜胃癌根治术后患者康复及生活质量的影响[J].中国医药导报，2016，13（2）：158-162.
[4] 孙红霞，徐洁湜，张盾.心理弹性训练对胃癌根治术患者预后和生活质量的影响分析[J].癌症进展，2018，16（3）：390-393.
[5] 谢红燕，陈鸿杰，李冰，等.正念减压训练对HIV感染者/AIDS患者焦虑、抑郁情绪及免疫功能的影响[J].中国护理管理，2019，19（7）：1058-1063.
[6] 中华人民共和国国家卫生和计划生育委员会.胃癌规范化诊疗指南（试行）[J].慢性病学杂志，2013，5（10）：47-51.
[7] German AI，Wittekind C. 2010 TNM system： on the 7th edition of TNM classification of malignant tumors[J].Pathologe，2010，31（5）：331-332.
[8] 李乐之，路潜.外科护理学[M].6版.北京：人民卫生出版社，2017：453-467.
[9] Tran THD，Anderson D，Seib C. The Vietnamese version of the Perceived Stress Scale （PSS-10）： Translation equivalence and psychometric properties among older women [J].BMC Psychiatry，2017，17（1）：53.
[10] 陈思佚，崔红，周仁来，等.正念注意觉知量表（MAAS）的修订及信效度检验[J].中国临床心理学杂志，2012， 20（2）：148-151.
[11] 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.
[12] Park SC，Jang EY，Kim JM，et al. Clinical Validation of the Psychotic Depression Assessment Scale, Hamilton Depression Rating Scale-6, and Brief Psychiatric Rating Scale-5： Results from the Clinical Research Center for Depression Study[J]. Psychiatry Investig，2017，14（5）：568-576.
[13] 莫晗，陈琳琳，龙吉芳，等.正念减压疗法对癌症患者心理状态影响的研究进展[J].护士进修杂志，2018，33（20）：1854-1856.
[14] 杨丛莲，吴国芳，刘爱芬，等.问题导向干预对胃癌手术患者自护能力与术后康复的影响[J].中国肿瘤临床与康复，2018，25（2）：103-106.
[15] 陈珂.以问题为导向的护理模式对肝癌介入治疗患者健康信念、负性情绪的影响[J].中华现代护理杂志，2018， 24（36）：4408-4411.
[16] 李文，李显蓉.基于问题导向模式的认知行为干预在直肠癌护理中的应用[J].结直肠肛门外科，2020，26（1）：120-123.
[17] 邓莉华，刘明蓉，邹玉仙，等.心理弹性训练联合问题导向干预对卵巢癌患者心理状态和生活质量的临床研究[J].国际精神病学杂志，2018，45（4）：755-757，761.
[18] 王焰欣，曹威.正念减压训练对老年慢性心力衰竭患者负性情绪的影响[J].华西医学，2019，34（8）：105-110.
[19] 李春媛，崔晓薇，佟蕾，等.正念减压训练对喉癌患者睡眠质量及焦虑抑郁水平的影响[J].中华现代护理杂志，2018，24（1）：99-102.
[20] 谢汝慧，吴玲玲.以问题为导向的细节干预对非小细胞肺癌化疗患者胃肠道反应的影响[J].医学临床研究，2018， 35（11）：2230-2232.
[21] 包蔚郁，胡玉婷，张凯，等.认知行为治疗联合正念减压对乳腺癌患者创伤后成长与自尊的影响[J].中国医药科学，2020（14）：1-4，67.
[22] 李琼，涂朝勇.正念减压疗法对肝癌介入化疗栓塞患者癌因性疲乏和睡眠质量的改善作用[J].中国现代医生，2019，57（6）：59-62.
[23] 张亚娟，钱超，陆海燕，等.正念疗法对乳腺癌术后患者生活质量及负性情绪影响的meta分析[J].中国医药导报，2020，17（25）：164-167，183.
[24] 彭李，武曈，黄伟容，等.正念减压训练对集训期火箭军新兵心理健康的促进作用[J].第三军医大学学报，2019，41（11）：1090-1096.
[25] 张小学，赵芳，常月，等.以问题为导向健康教育对剖宫产后发生抑郁症及激素水平的影响[J].中国妇幼保健，2019，34（1）：12-15.
[26] Santarnecchi E，Egiziano E，Arista S，et al. Mindfulness-based stress reduction training modulates striatal and cerebellar connectivity[J]. J Neurosci Res，2021，99（5）：1236-1252.
[27] Sevinc G，H?觟lzel BK，Hashmi J，et al. Common and Dissociable Neural Activity After Mindfulness-Based Stress Reduction and Relaxation Response Programs[J]. Psychosom Med，2018，80（5）：439-451.
[28] 刘丽娜，鲁玉君，朱佳巍.肠内营养干预联合正念减压训练对胃癌化疗患者营养状况与免疫功能的影响[J].广东医学，2020，41（1）：103-107. |
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