正念干预在脑卒中后阻塞性睡眠呼吸暂停并抑郁患者中的应用效果  

Application Effect of Mindfulness Intervention in Post-stroke OSA Patients Complicated with Depression

作　　者：潘殊 陈其珍[1] 朱金妹[1] 何俊[1] 张艳[1] 张丽霞[2] 王彤[2] Shu CHEN Qi-zhen;ZHU Jin-mei;HE Jun;ZHANG Yan;ZHANG Li-xia;WANG Tong(Dean Hospital of Changzhou,Changzhou 213000,China;Rehabilitation Medical Center,the People＇ s Hospital of Jiangsu Province,Nanjing 210000,China)

机构地区：[1]江苏省常州市德安医院,213000 [2]江苏省人民医院康复医学中心,江苏省南京市210000

出　　处：《实用心脑肺血管病杂志》2018年第5期60-63,共4页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：2017年江苏省科技发展计划项目(BE2017752)

摘　　要：目的分析正念干预在脑卒中后阻塞性睡眠呼吸暂停(OSA)并抑郁患者中的应用效果。方法选取2016年1月—2017年10月常州市德安医院康复中心收治的脑卒中后OSA并抑郁患者62例,采用随机数字表法分为对照组与研究组,每组31例。在脑卒中常规康复治疗与康复护理基础上,对照组患者针对抑郁给予舍曲林治疗,研究组患者在对照组基础上给予正念干预;两组患者均连续干预8周。比较两组患者干预前后24项汉密尔顿抑郁量表(HAMD-24)评分、正念注意觉知量表(MAAS)评分、一般自我效能感量表(GSES)评分、匹兹堡睡眠质量指数(PSQI)评分及多导睡眠图(PSG)监测结果。结果干预前两组患者HAMD-24评分、MAAS评分、GSES评分及PSQI评分比较,差异无统计学意义(P>0.05);干预后研究组患者HAMD-24评分和PSQI评分低于对照组,MAAS评分和GSES评分高于对照组(P<0.05)。干预前两组患者呼吸暂停低通气指数(AHI)、血氧饱和度<90%时间占监测总时间的百分比(TS90%)、夜间最低动脉血氧饱和度(LSaO_2)比较,差异无统计学意义(P>0.05);干预后研究组患者AHI、TS90%低于对照组,夜间LSaO_2高于对照组(P<0.05)。结论正念干预在脑卒中后OSA并抑郁患者中的应用效果确切,能有效减轻患者抑郁程度,改善睡眠质量及OSA症状,提高患者正念水平及自我能效感。Objective To analyze the application effect of mindfulness intervention in post-stroke OSA patients complicated with depression. Methods From January 2016 to October 2017,a total of 62 post-stroke OSA patients complicated with depression were selected in Dean Hospital of Changzhou,and they were divided into control group and research group according to random number table,each of 31 cases. Based on conventional rehabilitation therapy and nursing care for stroke,patients in control group received sertraline,while patients in control group received mindfulness intervention;both groups continuously intervened for 8 weeks. HAMD-24 score,MAAS score,GSES score,PSQI score and PSG monitoring results were compared between the two groups. Results No statistically significant differences of HAMD-24 score,MAAS score,GSES score or PSQI score was found between the two groups before intervention（P〈0.05）;after intervention,HAMD-24 score and PSQI score in research group were statistically significantly lower than those in control group,while MAAS score and GSES score in research group were statistically significantly higher than those in control group（P〈0.05）. No statistically significant differences of AHI,TS90% or nighttime LSaO2 was found between the two groups before intervention（P〈0.05）;after intervention,AHI and TS90% in research group were statistically significantly lower than those in control group,while nighttime LSaO2 in research group was statistically significantly higher than that in control group（P〈0.05）. Conclusion Mindfulness intervention has good application effect in post-stroke OSA patients complicated with depression,can effectively relieve the severity of depression and OSA related symptoms,improve the sleep quality,mindfulness level and self-efficacy.

关 键 词：脑卒中 睡眠呼吸暂停 阻塞性 抑郁 正念干预 治疗结果 

分 类 号：R743[医药卫生—神经病学与精神病学] R563.8[医药卫生—临床医学]