Effect of mindfulness behavior training combined with empathy nursing on breast cancer patients undergoing radical mastectomy
正念行为训练联合共情护理对乳腺癌根治术患者的影响

摘要

目的 探讨正念行为训练联合共情护理对乳腺癌根治术患者产生的影响。方法 选取2022年3月～2023年3月期间在我院接受乳腺癌根治术治疗的70例患者为对象，采取平均数分法分为对照组和观察组，各35例。对照组患者接受常规心理护理，观察组在此基础上实施正念行为训练联合共情护理干预，比较分析两组患者干预前后SAS、SDS评分及心理弹性评分等指标。结果 干预前，两组患者SAS、SDS评分差异无统计学意义（P＞0.05）.干预后，两组患者SAS、SDS评分均显著降低，且观察组低于对照组，差异有统计学意义（P＜0.05）；干预前，两组患者人际协助、家庭支持、积极认知、目标专注、情绪控制、心理韧性总评分等心理弹性各维度评分差异均无统计学意义（P＞0.05）；干预后，两组患者心理弹性各维度评分均显著提升，且观察组高于对照组，差异有统计学意义（P＜0.05）。结论 针对乳腺癌根治术患者实施正念行为训练联合共情护理干预方案可有效改善患者负性情绪及心理弹性，确保患者能在治疗过程中保持积极乐观态度，值得在临床范围广泛应用。

Abstract

Objective To explore the influence of mindfulness behavior training combined with empathy nursing on breast cancer patients undergoing radical mastectomy.
Methods From March 2022 to March 2023, 70 patients with breast cancer who received radical mastectomy in our hospital were selected as subjects, and were divided into control group and observation group by mean score method, with 35 cases in each group. The control group received routine psychological care, while the observation group received mindfulness behavior training combined with empathy nursing intervention. SAS, SDS scores, and psychological resilience scores before and after the intervention were compared and analyzed between the two groups of patients.
Results Before intervention, there was no statistically significant difference in SAS and SDS scores between the two groups of patients (P>0.05). After intervention, the SAS and SDS scores of both groups of patients significantly decreased, and the observation group was lower than the control group, with a statistically significant difference (P<0.05); Before intervention, there was no statistically significant difference in the scores of interpersonal assistance, family support, positive cognition, goal focus, emotional control, and overall psychological resilience between the two groups of patients (P>0.05); After intervention, the psychological resilience scores of both groups of patients significantly improved in all dimensions, and the observation group was higher than the control group, with a statistically significant difference (P<0.05).
Conclusion   The implementation of mindfulness behavior training combined with empathy nursing intervention for patients with breast cancer undergoing radical mastectomy can effectively improve their negative emotions and psychological resilience, and ensure that patients can maintain a positive and optimistic attitude in the treatment process, which is worthy of extensive application in clinical practice.