ORIGINAL RESEARCH article
Front. Neurol.
Sec. Cognitive and Behavioral Neurology
Study on the intervention effect of Mindfulness-Based Stress Reduction on Postoperative Cognitive Dysfunction and Psychological Resilience in lung cancer patients
Provisionally accepted
- 1Shandong First Medical University Cancer Hospital, Jinan, China
- 2Jinan Children's Hospital, Jinan, China
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Background Postoperative cognitive dysfunction and psychological problems seriously affect the quality of life and recovery process of lung cancer patients. As an emerging psychological intervention method, Mindfulness-Based Stress Reduction has been widely noticed and applied in the medical field. Objectives Evaluating the effectiveness of Mindfulness-Based Stress Reduction as an intervention for postoperative cognitive dysfunction and psychological resilience in lung cancer patients. Methods Taking 86 patients who underwent lung cancer surgery in our hospital from January 2022 to December 2023 as the research subjects, the research subjects were divided into the control group and the research group by using the method of random number table, each with 43 cases. The control group used conventional care, and the research group used Mindfulness-Based Stress Reduction, and the differences in the indicators of the two groups were observed and compared through the relevant assessment tools, and P<0.05 was taken as statistically significant differences. Results Before the intervention, there were no significant differences in cognitive functioning, psychological resilience, self-efficacy, cancer-caused fatigue, and sleep quality scores between the two groups(P>0.05).After 8 weeks of intervention, Montreal Cognitive Assessment(MoCA),Connor-Davidson resilience scale(CD-RISC)and general self-efficacy scale(GSES)scores were elevated in both groups, and in the research group, the MoCA scores(26.23 ± 1.45 vs. 25.05 ± 1.17, P<0.001),the CD-RISC total score(66.26 ± 8.27 vs. 61.79 ± 7.93, P=0.012) and GSES score (30.19 ± 3.27 vs.26.37 ± 2.31,P<0.001) were significantly higher than those of the control group. In addition, piper fatigue score(PFS) and pittsburgh sleep quality index (PSQI) scores decreased in both groups after the intervention, and behavioral fatigue (4.02 ± 1.28 vs. 4.61 ± 1.37, P=0.045), emotional fatigue (3.28 ± 1.39 vs. 3.93 ± 1.40, P=0.033), somatic fatigue (3.81 ± 1.30 vs. 4.47 ± 1.37, P=0.026) and cognitive fatigue (4.07 ± 1.39 vs. 4.72 ± 1.37, P=0.031) were significantly lower in the research group than those in the control group, as was the total sleep quality score (8.63 ± 1.59 vs. 11.12 ± 1.31, P<0.001). Conclusion Mindfulness-Based Stress Reduction can effectively improve postoperative cognitive function, enhance psychological resilience, and alleviate cancer-caused fatigue and sleep disorders in lung cancer patients.
Keywords: Mindfulness-based stress reduction, lung cancer, postoperative cognitive dysfunction, psychological resilience, Intervention effect
Received: 20 Aug 2025; Accepted: 19 Nov 2025.
Copyright: © 2025 Ji, Ding and Meng. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Yingtao Meng, huanhuan930@outlook.com
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