抑郁症住院患者参与正念治疗体验的质性研究  

A qualitative study of depressed inpatients participating in mindfulness therapy experience

作　　者：叶雪花[1] 王明星 吴满花[1] 侯瑞[1] Ye Xuehua;Wang Mingxing;Wu Manhua;Hou Rui(Psychosomatic Department of Hangzhou Seventh People′s Hospital,Hangzhou 310013,China)

机构地区：[1]杭州市第七人民医院心身科,310013

出　　处：《中国实用护理杂志》2021年第5期385-389,共5页Chinese Journal of Practical Nursing

摘　　要：目的探索抑郁症住院患者如何围绕正念治疗核心"觉察、不判断、活在当下"调节自我的变化过程。方法采用质性研究的现象学方法,对23例抑郁症患者半结构式深入访谈,运用Cloaizzi 7步分析法进行分析、整理,提炼主题。结果共分析出4个主题:多重心理体验、正念治疗改变思维模式、正念治疗促进自我认同、形成自我应对策略。结论抑郁症患者初次参与正念治疗往往较为被动,且多受负性情绪与自动化思维影响,医护人员应依据患者在参与正念治疗过程中的体验为落脚点,重视患者的自我调节过程,制定相关策略,帮助患者更好的理解与适应正念治疗,减少抑郁症的复发,提高患者生命质量。Objective To explore the process of how depressed patients regulate themselves around the cores of mindfulness therapy-cognition,non-judgement and living in the present.Methods The phenomenology of the qualitative research was adopted.The themes are analyzed,organized and refined through semi-structured in-depth interviews with 23 depressed patients,and using the Cloaizzi 7-step analysis.Results A total of four themes are analyzed:multiple psychological experiences,mindfulness therapy to change thinking patterns,to promote self-identity,and to form self-coping strategies.Conclusions Depressed patients are often passive and affected by negative emotions and automatic thoughts when they first participate in mindfulness therapy.Based on patients′processual experience of participating in mindfulness therapy,health care professionals should focus on the patients′self-regulation process and develop regulative strategies so as to help patients better understand and adapt to mindfulness therapy,reduce the recurrence of depression,and improve their qualities of life.

关 键 词：抑郁症 正念治疗 质性研究 

分 类 号：R473.74[医药卫生—护理学]