摘要
目的:探讨正念减压疗法(MBSR)联合音乐生物反馈疗法在不孕症患者中的应用效果。方法:选取2019年9月1日~2020年2月29日收治的438例不孕患者为研究对象,统一编号后采用抽签法随机分为干预组和对照组各219例;两组均给予常规健康教育和护理,对照组给予音乐生物反馈疗法,干预组给予MBSR联合音乐生物反馈疗法;比较两组干预前后的病耻感[采用不孕症病耻感量表(ISS)]、负性情绪[采用焦虑自评量表(SAS)、抑郁自评量表(SDS)]、睡眠质量[采用匹兹堡睡眠质量指数(PSQI)]及应对方式。结果:干预后,两组ISS、SAS、SDS、PSQI评分均低于干预前(P<0.05),且干预组低于对照组(P<0.05);干预后,两组应对方式中解决问题和求助因子评分均高于干预前(P<0.05),自责、幻想、退避及合理化因子评分均低于干预前(P<0.05),且干预组优于对照组(P<0.05)。结论:MBSR联合音乐生物反馈疗法可降低不孕症患者的病耻感,改善其负性情绪、睡眠质量及应对负性事件的能力。
Objective:To explore the application effect of mindfulness-based stress reduction combined with music biofeedback therapy in patients with infertility.Methods:A total of 438 patients with infertility admitted during September 1,2019 to February 29,2020 were selected as the study subjects,and they were randomly divided into the intervention group and the control group with 219 cases in each group by lottery method.The patients of the two groups were given routine health education and nursing,and the control group was treated with music biofeedback therapy intervention on this basis,and the intervention group was given mindfulness-based stress reduction therapy on the basis of the control group.The stigma scores by the infertility scale(ISS),negative emotions by the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS),sleep quality by the Pittsburgh Sleep Quality Index(PSQI)and coping styles were compared between the two groups before and after intervention.Results:After intervention,the scores of ISS,SAS,SDS ans PSQI in the two groups were lower than those before intervention(P<0.05),and those in the intervention group were lower than those in the control group(P<0.05).The scores of factors for problem-solving and help-seeking of coping styles in the two groups were higher than those before intervention(P<0.05),while the scores of self-accusation,fantasy,withdrawal and rationalization were lower than those before intervention(P<0.05),and those in the intervention group were better than those in the control group(P<0.05).Conclusion:Mindfulness-based stress reduction combined with music biofeedback therapy for patients with infertility can reduce the stigma,improve the negative emotions,sleep quality and ability to cope with negative events.
作者
周利娜
周泽纯
吴远菲
张茂玲
Zhou Lina;Zhou Zechun;Wu Yuanfei(Guangzhou Provincial Hospital for Maternal and Child Healthcare,Guangzhou Guangdong 511400,China)
出处
《齐鲁护理杂志》
2022年第3期16-19,共4页
Journal of Qilu Nursing
关键词
正念减压疗法
音乐生物反馈疗法
不孕症
病耻感
负性情绪
睡眠质量
Mindfulness-based stress reduction
Music biofeedback therapy
Infertility
Stigma
Negative emotions
Sleep quality
