Revitalizing Minds: Exploring the Transformative Power of Mindfulness-Based Nursing Interventions on Depression and Resilience in Oncology Patients—A Quasiexperimental Approach

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice Pub Date : 2025-03-11 DOI:10.1111/ijn.70005

Ateya Megahed Ibrahim, Soma Ibrahim Ali, Mai El-Ghareap Hassan El-Metwally Omar

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引用次数: 0

Abstract

Aim

This study evaluated the impact of mindfulness-based nursing interventions (MBNIs) on reducing depression and enhancing resilience in oncology patients.

Background

Oncology patients face high levels of depression and weakened resilience, which significantly reduces their quality of life, affects their ability to adhere to treatment and worsens health outcomes. Additional stressors linked to the diagnosis, treatment side effects and future uncertainty may lead to emotional challenges. MBNIs offer an optimistic approach to these problems by inducing emotional regulation, depressive symptom reduction and the development of resilience through mindfulness practices. Although MBNIs have been increasingly recognized in mental health care, their effectiveness in oncology remains underinvestigated. Further research is needed concerning its potential benefits in fostering psychological well-being, improving patients' emotional coping with illness and enhancing the treatment experience.

Methods

This is a single-group quasiexperiment study adopting a pretest and posttest design, conducted at the Damietta Oncology Institute in Egypt between May and August 2023. This study recruited 88 patients who agreed to participate and were diagnosed with oncological diseases. The Patient Health Questionnaire-9 (PHQ-9) was used to measure depression, and the Connor–Davidson Resilience Scale (CD-RISC) was used to measure resilience. Data analysis was performed using paired t-tests and linear regressions. Pearson's correlation was also considered to establish the effects of the intervention and further provide correlations between depression and resilience.

Results

There was a significant improvement in depression and resilience following the MBNIs. The mean PHQ-9 score decreased significantly from 14.6 ± 3.2 to 9.7 ± 2.5, with p ≤ 0.001, indicating a significant reduction in depressive symptoms. Similarly, resilience scores increased from 56.4 ± 5.7 to 64.8 ± 6.3, with p ≤ 0.001 showing an improvement in resilience. The linear regression analysis showed that intervention accounted for 55% of changes in PHQ-9 scores and 41% in CD-RISC scores, thus suggesting that a significant portion of the observed changes in depressive symptomatology and resilience was due to the MBNIs. In addition, both levels of depressive symptomatology and resilience were highly inversely related at preintervention (r = 0.67 and p = 0.003) and postintervention (r = 0.58 and p = 0.012).

Conclusion

MBNIs significantly reduced symptoms of depression and enhanced resilience in oncology patients. The incorporation of MBNIs in cancer care may lead to an improvement in the emotional status and quality of life of patients. Future research should consider the long-term effects and applicability of these interventions in broader contexts within oncology treatment.

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振兴心灵：探索以正念为基础的护理干预对肿瘤患者抑郁和恢复力的变革力量-一种准实验方法

目的本研究评估正念护理干预（MBNIs）对减少肿瘤患者抑郁和增强恢复力的影响。肿瘤患者面临高水平的抑郁和较弱的恢复力，这大大降低了他们的生活质量，影响了他们坚持治疗的能力，并恶化了健康结果。与诊断、治疗副作用和未来不确定性相关的额外压力源可能导致情感挑战。mbni提供了一种乐观的方法来解决这些问题，通过正念练习诱导情绪调节，减轻抑郁症状和发展恢复力。尽管mbni在精神卫生保健中得到越来越多的认可，但其在肿瘤学中的有效性仍未得到充分研究。它在促进心理健康、改善患者对疾病的情绪应对和提高治疗体验方面的潜在益处有待进一步研究。方法采用前测和后测设计的单组准实验研究，于2023年5月至8月在埃及Damietta肿瘤研究所进行。这项研究招募了88名同意参与并被诊断患有肿瘤疾病的患者。采用患者健康问卷-9 （PHQ-9）测量抑郁，采用康诺-戴维森心理弹性量表（CD-RISC）测量心理弹性。数据分析采用配对t检验和线性回归。Pearson的相关性也被认为是建立干预的效果，并进一步提供抑郁和恢复力之间的相关性。结果MBNIs治疗后抑郁和心理弹性均有显著改善。PHQ-9平均分由14.6±3.2降至9.7±2.5,p≤0.001，抑郁症状明显减轻。同样，心理弹性得分从56.4±5.7分提高到64.8±6.3分，p≤0.001表明心理弹性有所提高。线性回归分析显示，干预占PHQ-9评分变化的55%，CD-RISC评分变化的41%，因此表明观察到的抑郁症状和恢复力变化的很大一部分是由于MBNIs。此外，在干预前（r = 0.67和p = 0.003）和干预后（r = 0.58和p = 0.012），抑郁症状和恢复能力水平均呈高度负相关。结论MBNIs可显著减轻肿瘤患者的抑郁症状，增强患者的抗抑郁能力。MBNIs在癌症治疗中的应用可能会改善患者的情绪状态和生活质量。未来的研究应考虑这些干预措施在肿瘤治疗中更广泛背景下的长期效果和适用性。

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来源期刊

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.