基于正念减压训练的心理干预对COPD患者情绪和生活质量的影响

摘要

Objective To explore the effects of mental intervention based on mindfulness-based stress reduction on anxiety, depression and quality of life among patients with chronic obstructive pulmonary disease (COPD) so as to provide a basis for improving quality of life of COPD patients.Methods From October 2016 to May 2017, we selected 72 COPD patients of Respiratory Department in Heilongjiang Provincial Hospital as subjects by convenience sampling. All of the patients were divided into control group and observation group with the random number table, 36 cases in each group. Control group received routine nursing and follow-up. On this basis of that in control group, observation group carried out mental intervention based on mindfulness-based stress reduction. The Self-rating Anxiety Scale (SAS) and the Self-rating Depression Scale (SDS) were used to evaluate patients' moods;and the St.George's Respiratory Questionnaire (SGRQ) was used to investigate their quality of life.Results Two cases lost to follow-up in control group and three cases did not complete the training in observation group. Finally, a total of 34 cases and 33 cases were included in control group and observation group respectively. Before intervention, there was no statistical difference in the scores of SDS, SAS and SGRQ (P> 0.05). After intervention, the scores of SAS and SDS of observation group were statistically lower than those of control group (P<0.05). The score of disease impacts in observation group was lower than that in control group with a statistical difference (P<0.05). However, there was no statistical difference in the scores of dyspnea and activity ability (P>0.05).Conclusions Mindfulness-based stress reduction can improve moods and quality of life of COPD patients. It is worth to be widely used in clinical application.%目的 观察基于正念减压训练的心理干预对COPD患者焦虑、抑郁情绪和生活质量的影响,为提高COPD患者生活质量提供依据.方法 采用便利抽样法,选取2016年10月—2017年5月期间在黑龙江省医院呼吸内科门诊就诊的COPD患者72例为研究对象.按照随机数字表分为对照组和观察组,每组各36例.对照组进行常规护理和随访,观察组在此基础上接受基于正念减压训练的心理干预.干预前后应用SAS、SDS测评患者的情绪状态,应用圣乔治呼吸问卷(SGRQ)调查患者生活质量.结果 对照组2例失访,观察组3例未能完成训练,最终纳入对照组34例,观察组33例.干预前两组SDS、SAS、SGRQ得分差异均无统计学意义(P>0.05).干预后,观察组SAS和SDS得分均低于对照组,差异有统计学意义(P<0.05).观察组疾病影响得分低于对照组,差异有统计学意义(P<0.05),两组呼吸困难、活动能力得分差异无统计学意义(P>0.05).结论 正念减压训练可以改善COPD患者情绪状态和生活质量,值得在临床应用和推广.