老年淋巴瘤患者正念减压疗法的应用效果

Application effect of mindfulness-based stress reduction in elderly patients with lymphoma

  • 摘要:
      目的  探讨正念减压疗法对老年淋巴瘤患者疲乏症状及睡眠质量的影响。
      方法  选取老年淋巴瘤患者100例,随机分为对照组和观察组,每组50例,对照组采用常规疗法,观察组采用正念减压疗法,观察2组干预效果、疲乏症状及睡眠质量。
      结果  观察组总有效率90.0%, 高于对照组的50.0%; 干预后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分方面,观察组分别为(35.54±2.65)分、(34.56±3.46)分,低于对照组的(46.38±2.95)分、(43.36±3.74)分; 干预后,观察组癌因性疲乏量表(CFS)、匹兹堡睡眠质量指数量表(PSQI)各项评分均低于对照组,费城老年中心信心量表(PGC-CS)各项评分均高于对照组,差异有统计学意义(P < 0.05)。
      结论  正念减压疗法可以有效改善老年淋巴瘤患者抑郁、焦虑及疲乏症状,提高了患者的睡眠质量和幸福感。

     

    Abstract:
      Objective  To explore the effects of mindfulness-based stress reduction on fatigue symptoms and qualityof sleep in elderly patients with lymphoma.
      Methods  A total of 100 elderly patients with lymphoma were selected and randomly divided into control group and observation group, with 50 cases in each group. The control group was treated with conventional therapy, while the observation group was treated with mindfulness-based stress reduction. The intervention effect, fatigue symptoms and quality of sleep were observed in both groups.
      Results  The total effective rate in the observation group was 90.0%, which was significantly higher than 50.0% in the control group (P < 0.05). After intervention, the scores of Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) in the observation group were (35.54±2.65) and (34.56±3.46) points, respectively, which were significantly lower than (46.38±2.95) and (43.36±3.74) points in the control group (P < 0.05). After intervention, the scores of items of the Cancer-related Fatigue Scale (CFS) and the Pittsburgh Sleep Quality Index (PSQI) in the observation group were significantly lower than those in the control group, while the scores of items of the Philadelphia Geriatric Center Confidence Scale (PGC-CS) were significantly higher than those in the control group (P < 0.05).
      Conclusion  Mindfulness-based stress reduction can effectively improve the symptoms of depression, anxiety and fatigue in elderly patients with lymphoma, and enhance the quality of sleep and happiness of patients.

     

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