正念减压疗法对肺癌化疗患者自我效能及正念水平的影响

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1、授予单位代码10089学号或申请号20153564中国图书分类号R47HebeiMedicalUniversity硕士学位论文专业学位正念减压疗法对肺癌化疗患者自我效能及正念水平的影响研究生：刘婷导师：宿桂霞主任护师专业：护理学二级学院：第四医院2018年3月目录中文摘要·················································································1英文摘要················································

2、·································3英文缩写·················································································5研究论文正念减压疗法对肺癌化疗患者自我效能及正念水平的影响前言·················································································6材料与方法································

3、········································7结果···············································································13附表···············································································15讨论·····························································

4、··················35结论···············································································38参考文献·········································································39附录··············································································43综述正念减压

5、疗法在癌症患者中的应用··································50致谢·····················································································61个人简历···············································································62中文摘要正念减压疗法对肺癌化疗患者自我效能及正念水平的影响摘要目的：了解肺癌化疗患者自我效能、正念

6、水平现状并初步探讨与其相关的社会人口学因素，观察患者化疗期间自我效能及正念水平的变化，探讨正念减压疗法对提高肺癌患者化疗期间自我效能及正念水平的效果及意义。方法：将某三级甲等医院肿瘤内科100例首次接受化疗的肺癌患者按随机数字表法分为干预组和对照组，每组各50例。两组均接受常规护理干预，其中干预组还接受为期8周的正念减压疗法，在首次、第三次及第五次使用化疗药物的第一天，对两组进行自我效能及正念水平的评价。其中，自我效能水平采用自我效能量表、正念水平采用正念注意觉知量表。结果：本研究按照纳入、排除标准对某三甲医院符合标准的100例患者进

7、行干预，最后完成所有结果评价的有效样本97例，完成率为97%。干预前两组研究变量无统计学差异，经单因素方差分析显示，两组患者自我效能水平与患者受教育程度、家庭人均月收入、目前身体锻炼情况、报销方式之间存在交互效应（P<0.05）。正念水平与性别、报销方式、是否吸烟之间存在交互效应（P<0.05）。干预组自我效能水平在第三次评价时高于对照组（P<0.001），而正念水平在第二次和第三次评价时均高于对照组（P<0.05）。对照组组内自我效能水平随干预时间延长下降（P<0.05），正念水平没有统计学意义（P>0.05）。干预组组内自我效能与

8、正念水平随干预时间延长上升（P<0.001）。在自我效能量表中，两组间自我减压、正性态度维度随干预时间延长出现统计学差异（P<0.05）。对照组内正性态度维度得分随干预时间延长而下降（P<0.05）。干预组内自我减压与正