正念减压辅助情绪管理对炎症性肠病患者生存质量及焦虑抑郁情绪的影响  

Effect of mindfulness-based stress reduction assisted emotional management on quality of life,anxiety and depression in patients with inflammatory bowel disease

作　　者：凌艳[1] 陆文玲[2] 李曦[2] LING Yan;LU Wen-ling;LI Xi(Department of Nursing,Peking University Shenzhen Hospital,Guangdong Province,Shenzhen518036,China;Department of Gastroenterology,Peking University Shenzhen Hospital,Guangdong Province,Shenzhen518036,China)

机构地区：[1]北京大学深圳医院护理部,广东深圳518036 [2]北京大学深圳医院消化内科,广东深圳518036

出　　处：《中国当代医药》2020年第30期8-12,共5页China Modern Medicine

摘　　要：目的探讨正念减压法(MBSR)辅助情绪管理对炎症性肠病(IBD)患者生存质量及焦虑抑郁情绪的影响。方法采用方便取样法选取2018年3月~2019年3月于我院就诊的155例IBD患者作为研究对象,使用掷硬币法将其随机分为对照组(78例)和观察组(77例)。对照组患者使用常规宣教,观察组患者在对照组基础上学习MBSR及情绪管理应对负面情绪。比较两组患者入院时及出院24周后的焦虑自评量表(SAS)、抑郁自评量表(SDS)及炎症性肠病生存质量问卷(IBDQ)评分。结果入院时,两组患者的SAS、SDS和IBDQ评分比较,差异无统计学意义(P>0.05)。出院24周后,观察组患者的SAS、SDS评分低于入院时,IBDQ评分高于入院时,差异有统计学意义(P<0.05)。出院24周后,观察组患者的SAS、SDS评分低于对照组,IBDQ评分高于对照组,差异有统计学意义(P<0.05)。结论IBD患者的心理健康能够通过MBSR及情绪管理改进,进而提升其生存质量。Objective To investigate the effect of mindfulness-based stress reduction(MBSR)assisted emotional management on quality of life,anxiety and depression in patients with inflammatory bowel disease(IBD).Methods A total of 155 patients with IBD admitted to our hospital from March 2018 to March 2019 were selected as the research objects by convenient sampling method and randomly divided into the control group(78 cases)and the observation group(77 cases)by coin toss method.The control group was given routine education,and the observation group was instructed to learn MBSR assisted emotional management to deal with negative emotions on the basis of the control group.The scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS)and IBD questionnaire(IBDQ)were compared between the two groups at admission and 24 weeks after discharge.Results There were no statistically significant differences in SAS,SDS and IBDQ scores between the two groups at admission(P>0.05).After 24 weeks of discharge,the SAS,SDS scores of the observation group were higher than those at admission,the IBDQ score was lower than that at admission,and the differences were statistically significant(P<0.05).After 24 weeks of discharge,the SAS,SDS scores of the observation group were higher than those of the control group,the IBDQ score was lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusion The MBSR assisted emotional management can improve the mental health of patients with IBD and improve their quality of life.

关 键 词：炎症性肠病 正念减压法 情绪管理 生存质量 

分 类 号：R574[医药卫生—消化系统]