标题：正念减压训练对癌症患者焦虑抑郁情绪的影响

      作者：张宗城，叶 桦，岑建宁，张艳玲，刘 丽
    (广州医学院荔湾医院肿瘤科，广东 广州 510170)

      卷次： 2015年26卷8期

      【摘要】 目的 探讨正念减压训练对癌症患者焦虑抑郁情绪的影响。方法 264例癌症患者随机分为正念
减压组和对照组，每组132例。对照组采用常规的护理方法进行护理，正念减压组在常规护理的基础上实施正念
减压训练。分别于干预前和干预后4周应用焦虑自评量表(SAS)评价患者的焦虑程度，采用抑郁自评量表(SDS)
评价患者的抑郁程度。结果 两组患者干预前的SAS与SDS评分经比较差异均无统计学意义(P>0.05)；正念减
压组干预后SAS与SDS评分均显著低于干预前(P<0.05)，而对照组干预前后则差异均无统计学意义(P>0.05)；正
念减压组患者干预后的SAS与SDS评分显著低于对照组，差异具有统计学意义(P<0.05)。结论 肿瘤患者在常
规护理基础上实施正念减压训练有助于缓解患者的焦虑抑郁情绪。

      【关键词】 正念减压训练；癌症；焦虑；抑郁

      【中图分类号】 R730.231+5 【文献标识码】 A 【文章编号】 1003—6350（2015）08—1150—03


Effect of mindfulness-based stress reduction on anxiety and depression in cancer patients.
ZHANG Zong-cheng,
YE Hua, CEN Jian-ning, ZHANG Yan-ling, LIU Li. Department of Oncology, Liwan Hospital of Guangzhou Medical
College, Guangzhou 510170, Guangdong, CHINA

【Abstract】 Objective To explore the impact of mindfulness-based stress reduction upon anxiety and depres-
sion in cancer patients. Methods A total of 264 cancer patients were randomly divided into mindfulness-based stress
reduction group and control group, with 132 cases in each group. Control group applied conventional methods of care
for nursing, while mindfulness-based stress reduction group used mindfulness-based stress reduction on the basis of
conventional care for nursing. Before and 4 weeks after intervention, Self-Rating Anxiety Scale (SAS) was used to
evaluate the anxiety level of patients, and Self-Rating Depression Scale (SDS) was applied to evaluate the level of de-
pression patients. Results Before intervention, SAS and SDS scores of the two groups showed no statistically signifi-
cant difference (P>0.05). After intervention, SAS and SDS scores in mindfulness-based stress reduction group were
significantly lower than those before intervention (P<0.05), but the scores in the control group showed no statistically
significant difference with those before intervention (P>0.05). After intervention, the SAS and SDS scores of mindful-
ness-based stress reduction group were significantly lower than those of the control group, with statistically significant
differences (P<0.05). Conclusion Mindfulness-based stress reduction on the basis of conventional care helps relieve
anxiety and depression in cancer patients.

      【Key words】 Mindfulness-based stress reduction; Cancer; Anxiety; Depression
·论 著·