动机性访谈联合正念放松训练对晚期肝癌患者心理弹性及癌因性疲乏的影响

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[Abstract]Objective:To explorethe efectof motivational interviews combined with mindfulness relaxation training on patients with advanced livercancer(LC).Method:A retrospective analysis was conducted onthe clinical data of 2OO patientswith advanced LC who were treatedat Zhongshan Hospital Afiliated to Xiamen University from January 2023 to August 2O24.They were divided into two groups according to different intervention methods. The control group (lOO cases)received routine nursing care,while the observation group (1OO cases) received motivational interviews combined with mindfulnessrelaxation training.Both groups were intervened until3 months after discharge.The psychological resilience,cancer-related fatigue,pain level,sleepquality,and qualityof life between two groups were compared.Result: After the intervention,the score of the Connor-Davidson resilience scale-10 (CD-RISC-10)in theobservation group was higherthanthat inthe control group,the feling,emotional, cognitive,and behavioralscores in thePiper fatigue scale-revised (PFS-R) were lower than those inthe control group,thescores ofthe VASand Pitsburgh sleep quality index (PSQI) were lower thanthose in the control group,the scoresof various dimensions and the total score in thequalityoflife-liver cancer V2.O(QOL-LCV2.0)were higher than those in the control group,the differences were statistically significant ( P <0.05).Conclusion:Motivational interviews combined with mindfulness relaxation training can enhance the psychological resilience of advanced LC patients,alleviatecancer-relatedfatigue,aleviatepain,improvesleepquality,andenhance patients'qualityof life.
[Keywords] Advanced liver cancerMotivational interviews Mindfulness relaxation training Psychological resilienceCancer-related fatigue Quality of life
First-author'saddress:Emergency ObservationRoomof Zhongshan Hospital Afiliated toXiamen Jniversity,Xiamen361001,China
doi:10.3969/j.issn.1674-4985.2025.32.018
肝癌(livercancer,LC)作为临床极为常见的消化系统肿瘤病症,有着较高的发病率与致死率,疾病早期阶段,症状表现较为隐匿,导致大多数患者在病情被察觉时已处于疾病中晚期,患者常表现为肝区疼痛、消瘦乏力、消化道不适[。(剩余6492字)