团体正念训练对神经性厌食躯体化及住院依从性影响的研究  

A study on the influence of groupmindfulness training on somatization and hospitalization compliance in patients with anorexia nervosa

作　　者：王晓丝 岳建新 栗雪琪 柳学华[2] 王涌[3] WANG Xiao-si(Third comprehensive ward,the sixth hospital of Peking University,Beijing,100191,China)

机构地区：[1]北京大学第六医院综合三科,北京100191 [2]北京大学第六医院临床心理科,北京100191 [3]北京大学第六医院护理部,北京100191

出　　处：《齐齐哈尔医学院学报》2021年第4期360-364,共5页Journal of Qiqihar Medical University

摘　　要：目的探讨团体正念训练对神经性厌食患者住院依从性、觉知行动性和躯体不适感的临床效果。方法选择2020年1—6月收住本院综合三科的60例神经性厌食患者作为研究对象,采用随机数表法分为实验组和对照组两组,每组各30例。对照组给予药物治疗+营养支持治疗,实验组在对照组的基础上给予4周的团体正念训练,比较两组患者住院依从性、觉知行动性和躯体不适感情况。结果团体正念训练干预前,两组有觉知地行动因子得分、躯体化因子得分比较,差异无统计学意义(P>0.05)。干预后实验组住院依从率高于对照组(χ^(2)=5.455,P=0.02);实验组有觉知的行动得分高于对照组(t=6.084,P<0.001);实验组躯体化评分试验组低于对照组(t=-7.759,P<0.001)。结论团体正念训练可减轻神经性厌食患者的主观躯体不适感,提高住院依从性和觉知行动性,值得推广应用。Objective To explore the clinical effects of group mindfulness training on hospital compliance,perceived mobility and physical discomfort in anorexia nervosa patients.Methods From January 2020 to June 2020,60 admitted patients with anorexia nervosa from the third comprehensive ward in our hospital were selected as study subjects.According to the random number table method,they were divided into experimental group and control group.There were 30 patients both in each group.The control group was treated with drug therapy and nutritional support.The experimental group was given group mindfulness training for 4 weeks on the basis of the control group.Then we compared hospitalization compliance,perceived mobility and physical discomfort between the two groups.Results Before group mindfulness training,there was no statistically significant difference in the scores of perceived mobility and physical discomfort between the two groups(P>0.05).After group mindfulness training intervention,the hospitalization compliance rate of the experimental group were higher than those of the control group(χ^(2)=5.455,P=0.02).The perceived action score of the experimental group was higher than that of the control group(t=6.084,P<0.001).The somatization score of the experimental group was lower than that of the control group(t=-7.759,P<0.001).Conclusions Group mindfulness training could alleviate the subjective physical discomfort of anorexia nervosa patients.It could also improve hospital compliance and perceived mobility,and worth popularizing and applying in clinic.

关 键 词：神经性厌食 进食障碍 正念 躯体化 住院依从性 

分 类 号：R749.7[医药卫生—神经病学与精神病学]