正念减压疗法对择期手术患者手术应激源的影响  

Effect of mindfulness therapy on surgical stressors of patients undergoing elective surgery

作　　者：杜彦玲[1] 蒋维连[2] 

机构地区：[1]哈尔滨医科大学附属第一医院手术室,黑龙江哈尔滨150001 [2]广西壮族自治区南溪山医院手术室,广西桂林541002

出　　处：《现代临床护理》2016年第2期13-16,共4页Modern Clinical Nursing

基　　金：黑龙江省教育厅人文社会科学项目;项目编号为12532229

摘　　要：目的探讨正念减压疗法对择期手术患者手术应激源的影响。方法将120例择期手术患者按照随机数字表法随机分为观察组和对照组,每组各60例。对照组患者给予常规的护理干预,观察组患者在此基础上依据正念减压疗法中的身体扫描、正念呼吸、正念冥想、步行冥想、正念瑜伽、正念内省等6方面进行护理干预。采用压力知觉量表、焦虑自评量表和抑郁自评量表对患者进行评分,比较两组患者压力知觉,焦虑和抑郁水平。结果干预后观察组患者压力知觉、焦虑和抑郁评分均低于对照组,两组比较,差异具有统计学意义(均P<0.05)。结论正念减压疗法能有效降低择期手术患者压力知觉水平,改善其焦虑抑郁情绪,有利于手术的顺利进行和提高手术质量。Objective To study the impact of mindfulness therapy on the surgical stressors of patients undergoing elective surgery. Methods One hundred and twenty patients undergoing elective surgery were randomly divided into the observation group and the control group according to the random number table with 60 in each group. The control group was treated with conventional care intervention and the former with nursing intervention based on mindfulness therapy, body scanning, mindful breathing, mindfulness meditation, walking meditation, mindfulness yoga and mindfulness aspect introspection, besides the conventional one. The intervention effect was compared between the groups by way of the Chinese version perceived stress scale（CPSS）, self-rating anxiety scale（SAS）and self-rating depression scale（SDS）. Result After the intervention, the scores of the observation group by CPSS, SAS and SDS were all significantly lower as compared to those of the control group（all P〈 0.05）. Conclusion Mindfulness therapy can effectively reduce the level of perceived stress in patients undergoing elective surgery and relieve their anxiety and depression, which is conducive to the smooth operation and improvement of the operative quality.

关 键 词：正念减压疗法 择期手术 手术应激源 

分 类 号：R473.6[医药卫生—护理学]