正念减压疗法对冠心病合并抑郁症状患者生活质量和社会功能的作用研究  

Effect of Mindfulness-based Stress Reduction on Quality of Life and Social Function in Patients with Coronary Heart Disease Complicated with Depressive Symptoms

作　　者：张晨 丘伟燕[1] 刘勇[1] ZHANG Chen;QIU Weiyan;LIU Yong(Guangdong Provincial People’s Hospital,Guangzhou 510080,China;不详)

机构地区：[1]广东省人民医院,广东广州510080

出　　处：《中国医学创新》2021年第10期84-88,共5页Medical Innovation of China

基　　金：中国心血管医学会中国中青年临床研究项目(2017-CCA-VG-020)。

摘　　要：目的:探讨正念减压疗法(MBSR)对冠心病(CHD)合并抑郁症状患者的生活质量和社会功能的影响。方法:选择2019年1-12月本院住院部心内科CHD合并抑郁患者60例。采用随机数字表法将患者分为观察组30例和对照组30例。对照组给予常规CHD护理治疗,观察组在常规CHD护理治疗的基础上增加正念减压疗法(MBSR)治疗。比较两组患者干预前后的心理健康调查量表(PHQ-9)、广泛焦虑障碍量表(GAD-7)、简版健康相关生存质量量表(SF-12)和个人与社会功能量表(PSP-CHN)。结果:干预前,两组PHQ-9、GAD-7、PCS、MCS和PSP-CHN评分比较,差异均无统计学意义(P>0.05);干预8周后,观察组的PHQ-9和GAD-7评分均低于对照组,PCS、MCS和PSP-CHN评分均高于对照组,差异均有统计学意义(P<0.05)。结论:MBSR可以缓解冠心病合并抑郁症状患者的抑郁和焦虑症状,提高社会功能和生活质量。Objective:To investigate the effect of mindfulness-based stress reduction(MBSR)on the quality of life and social function of patients with coronary heart disease(CHD)complicated with depressive symptoms.Method:A total of 60 patients with CHD complicated with depression were selected from the inpatient department of cardiology of our hospital from January to December 2019.The patients were divided into observation group(30 cases)and control group(30 cases)by random number table method.The control group was given routine CHD nursing treatment,and the observation group was given MBSR on the basis of routine CHD nursing treatment.Patient health questionnaire 9(PHQ-9),generalized anxiety disorder 7 items(GAD-7),simple health-related quality of life scale(SF-12)and Chinese version of personal and social performance scale(PSP-CHN)before and after intervention were compared between the two groups.Result:Before intervention,there were no significant differences in PHQ-9,GAD-7,PCS,MCS and PSP-CHN scores between the two groups(P>0.05).After 8 weeks of intervention,PHQ-9 and GAD-7 scores in the observation group were lower than those in the control group,while PCS,MCS and PSP-CHN scores were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:MBSR can alleviate depression and anxiety symptoms,improve social function and quality of life in patients with coronary heart disease complicated with depressive symptoms.

关 键 词：正念减压疗法 冠心病 抑郁症状 社会功能 生活质量 

分 类 号：R473.5[医药卫生—护理学]