正念减压法对精神分裂症患者家庭照料者的负性情绪和睡眠质量的影响  

Effect of Mindfulness Decompression on Negative Emotion and Sleep Quality of Family Caregivers in Schizophrenia Patients

作　　者：黄小梅 陈小寒 朱虹玉 阮章婷 HUANG Xiaomei;CHEN Xiaohan;ZHU Hongyu;YUAN Zhangting(Five Departments of Psychiatry,Fuzhou Neuropsychiatric Hospital,Fuzhou 350008,China)

机构地区：[1]福州神经精神病防治院精神五科,福州350008

出　　处：《世界睡眠医学杂志》2021年第4期730-733,共4页World Journal of Sleep Medicine

摘　　要：目的:探讨正念减压法在精神分裂症患者家庭照料者焦虑、抑郁及睡眠质量中的作用。方法:选取2018年6月至2020年1月福州神经精神病防治院收治的精神分裂症患者家庭照料者124例作为研究对象,随机分为对照组和观察组,每组62例。对照组进行常规的健康教育指导,观察组在常规健康宣教基础上接受正念减压法。采用焦虑自评量表(Self-Rating Anxiety Scale,SAS)、抑郁自评量表(Self-Rating Depression Scale,SDS)和匹兹堡睡眠质量指数量表(Pittsburgh Sleep Quality Index Scale,PSQI)比较2组干预前、后焦虑、抑郁及睡眠质量评分。结果:干预前,2组患者的焦虑、抑郁及睡眠质量评分差异均无统计学意义(P>0.05),睡眠质量总分与患者的焦虑、抑郁正相关(P<0.05)。干预8周后观察组的焦虑、抑郁及睡眠质量总分均低于对照组(P<0.05)。结论:正念减压法可减轻精神分裂症患者家庭照料者焦虑、抑郁状态,并改善睡眠质量。Objective:To explore the role of mindfulness decompression in anxiety,depression and sleep quality in family caregivers of schizophrenia.Methods:From June 2018 to January 2020,124 family caregivers of schizophrenic patients were selected as the subjects,randomly divided into control and observation groups,with 62 cases in each group.The control group was given routine health education guidance.The observation group received mindfulness decompression on the basis of routine health education.Adopt self-rating anxiety scale(SAS),self-rating depression scale(SDS)and Pittsburgh Sleep Quality Index(PSQI)scale to compare the scores of anxiety,depression and sleep quality before and after intervention in two groups.Results:Before the intervention,the differences in anxiety,depression and sleep quality between the two groups were not statistically significant(P>0.05).Sleep quality was positively correlated with anxiety and depression(P<0.05).After 8 weeks of intervention,the anxiety,depression and sleep quality of the study group were all lower than those of the control group(P<0.05).Conclusion:Mindfulness-based stress reduction can reduce anxiety and depression and improve sleep quality in family caregivers of patients with schizophrenia.

关 键 词：正念减压法 精神分裂症 患者家属 焦虑 抑郁 睡眠质量 

分 类 号：R749.3[医药卫生—神经病学与精神病学] R338.63[医药卫生—临床医学]