主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2025, Vol. 25 ›› Issue (1): 135-139.doi: 10.3969/j.issn.1672-1756.2025.01.026

• 专科管理 • 上一篇    下一篇

改良型正念认知疗法在头颈癌术后患者中的应用效果研究

孙灿 耿海梅 张令令 孟凡宇 崔玉娟 刘俐惠   

  1. 首都医科大学附属北京世纪坛医院耳鼻咽喉头颈外科,100089 北京市(孙灿,孟凡宇,崔玉娟);护理部(耿海梅,刘俐惠);科技处(张令令)
  • 出版日期:2025-01-15 发布日期:2025-01-15
  • 通讯作者: 刘俐惠,本科,主任护师,护理部主任,E-mail:bjrghliulh@126.com
  • 作者简介:孙灿,本科,主管护师,副护士长
  • 基金资助:
    首都医科大学附属北京世纪坛医院青年基金(2019-q27)

Effects of modified Mindfulness-Based Cognitive Therapy on the psychology of patients after head and neck cancer surgery

SUN Can, GENG Haimei, ZHANG Lingling, MENG Fanyu, CUI Yujuan, LIU Lihui   

  1. Department of Otolaryngology Head and Neck Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, 100089, China
  • Online:2025-01-15 Published:2025-01-15
  • Contact: E-mail:bjrghliulh@126.com

摘要: 目的:分析改良型正念认知疗法在头颈癌术后患者中的应用效果,以期为临床提供借鉴及数据支持。方法:采用便利抽样法选取2021年4月至2022年9月北京某三级综合甲等医院头颈癌术后48例患者为研究对象,按随机数字表法分为对照组和观察组各24例。对照组采用术后常规护理措施,观察组采用改良型正念认知疗法进行干预。比较两组患者干预前后的焦虑和抑郁程度、睡眠质量、满意度水平。结果:干预6周后,观察组患者的焦虑、抑郁量表及睡眠质量得分均低于对照组,住院满意度得分高于对照组,差异有统计学意义(P<0.05)。结论:应用改良型正念认知疗法进行康复训练,可以缓解头颈癌术后患者焦虑、抑郁状况,提高睡眠质量和满意度。

关键词: 正念认知疗法;气管切开;心理康复;心理干预;头颈癌

Abstract: Objective: Exploring the intervention effect of modified Mindfulness-Based Cognitive Therapy on psychological rehabilitation of patients with head and neck cancer after surgery. Methods: By convenience sampling, forty-eight patients after head and neck cancer surgery in a tertiary grade A hospital in Beijing from April 2021 to September 2022 were selected. They were divided into control and observation groups according to the random number table method. The control group received conventional psychological care, while the observation group received modified Mindfulness-Based Cognitive Therapy for psychological intervention. The anxiety, depression, sleep quality, and satisfaction levels were compared between the two groups before and after the intervention. Results: After 6 weeks of intervention, the anxiety, depression, and sleep quality scores of the observation group patients were lower than those of the control group, and the satisfaction scores were higher than those of the control group (P<0.05). Conclusion: The application of modified Mindfulness-Based Cognitive Therapy for rehabilitation training can alleviate anxiety and depression in patients with head and neck cancer undergoing tracheotomy and improve sleep quality and satisfaction.

Key words: Mindfulness-Based Cognitive Therapy; tracheotomy; psychological rehabilitation; psychological intervention; head and neck cancer

中图分类号:  R47;R197