正念减压疗法对上消化道出血患者疗效情绪及生活质量的影响被引量：6

Effect of mindfulness-based stress reduction on curative effect,emotions and quality of life in patients with upper gastrointestinal bleeding

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摘要目的探讨正念减压疗法对上消化道出血患者疗效、焦虑抑郁情绪及生活质量的影响。方法将82例上消化道出血患者按随机数字表法分为干预组、对照组,各41例。对照组患者接受常规干预,干预组患者在对照组基础上接受正念减压疗法干预。两组患者均干预至出院。比较两组患者临床疗效、临床指标(腹痛消失时间、出血停止时间、便血消失时间、住院时间)、并发症发生率、干预满意率以及干预前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、生存质量量表(QOL)评分。结果干预组患者治疗总有效率、干预满意率均高于对照组,并发症发生率低于对照组(P<0.05)。干预后干预组患者腹痛消失时间、出血停止时间、便血消失时间早于对照组,住院时间均短于对照组,SAS及SDS评分均低于对照组(P<0.01)。干预后干预组患者QOL的精神状态、认知功能、躯体疼痛、生理功能、社会能力、健康水平维度评分均高于对照组(P<0.01)。结论正念减压疗法有助于提升上消化道出血患者临床疗效,减少并发症的发生,改善患者的焦虑及抑郁情绪,促进患者症状更快好转,提升患者生活质量及干预满意率。 Objective To explore the effect of mindfulness-based stress reduction(MBSR)on curative effect,emotions and quality of life in patients with upper gastrointestinal bleeding(UGIB).Methods Eighty-two UGIB patients were divided into intervention and control group according to random number table,with 41 ones in each.Controls received routine intervention and intervention group did the MBSR on the basis of controls until patients'discharge.Such indexes were compared between two groups as clinical effects,clinical indicators(time of abdominal pain disappearing,time of bleed stopping,time of stool blood disappearing,and length of hospital stay),incidence of complications,satisfaction rate with intervention as well as pre-and post-intervention scores on the Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),and Quality of Life Questionnaire(QOL).Results The total effective rate and satisfaction rate with intervention were higher and incidence of complications was lower in intervention than control group(P<0.05).After intervention,abdominal pain disappearing,bleed stopping and stool blood disappearing were earlier,lengths of stay shorter,and scores on the SAS and SDS lower in intervention than control group(P<0.01).After intervention scores on the mental state,cognitive function,physical pain,physiological function,social ability and health level of the QOL were higher in intervention than control group(P<0.01).Conclusion The MBSR is helpful to improve the clinical efficacy of UGIB patients,reduces the occurrence of complications,improves anxious and depressive emotions,promotes patients'symptoms to improve faster,and improves patients'quality of life and intervention satisfaction rate.

作者李爱辉孔令凤张致琴 Li Aihui;Kong Lingfeng;Zhang Zhiqin(The First Affiliated Hospital of Xinxiang Medical University,Xinxiang 453100,Henan,China;不详)

机构地区新乡医学院第一附属医院

出处《临床心身疾病杂志》 CAS 2024年第6期67-71,共5页 Journal of Clinical Psychosomatic Diseases

基金新乡医学院第一附属医院护理培育基金项目(编号HL-2022-B3)。

关键词上消化道出血正念减压疗法临床疗效焦虑抑郁生活质量并发症 upper gastrointestinal bleeding mindfulness-based stress reduction clinical effect anxiety depression quality of life complications