短期正念训练对应激状态下肺结核住院患者心理状态的影响  

The effect of short-term mindfulness training on the psychological state of tuberculosis inpatients under stress

作　　者：潘稚芬 潘亚慧[2] 周勇[2] 李国荣[2] 潘亦天 PAN Zhifen;PAN Yahui;ZHOU Yong;LI Guorong;PAN Yitian(Department of Tuberculosis,Affiliated Hospital of Jiaxing University,The First Hospital of Jiaxing,Jiaxing 314000,China;Department of Psychiatry,Kangci Hospital of Jiaxing City in Zhejiang Province,Jiaxing 314500,China;Class 1 of Medical Treatment,Huanggang Vocational College of Science and Technology,Huanggang 438000,China)

机构地区：[1]嘉兴学院附属医院嘉兴市第一医院结核科,浙江嘉兴314000 [2]浙江省嘉兴市康慈医院精神科,浙江嘉兴314500 [3]黄冈科技职业学院医疗一班,湖北黄冈438000

出　　处：《中国现代医生》2021年第23期87-91,共5页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2016KYB288);浙江省嘉兴市科技计划项目(2018AD32089)。

摘　　要：目的探讨短期正念训练对应激状态下肺结核患者心理状态的影响。方法回顾性分析2020年1月20日至3月20日在嘉兴市第一医院结核病区住院的肺结核患者,按照随机数字表法选取78例,分为对照组和观察组,每组各39例。对照组给予常规诊疗,观察组在常规诊疗基础上联合短期正念训练干预。比较两组患者在干预前后的心理状况、医学应对方式、诊疗满意度方面变化。结果与干预前相比,两组患者在干预后症状自评量表(SCL-90)各分值有下降,且焦虑、恐怖因子及总分值观察组较对照组降低更明显(P<0.05)。干预前两组在医学应对方式问卷(MCMQ)各维度分值比较,差异无统计学意义(P>0.05);观察组干预前后MCMQ各维度分值比较,差异有统计学意义(P<0.05),而对照组仅回避维度在干预前后比较,差异有统计学意义(P<0.05)。干预后观察组满意度为94.871%,显著高于对照组的66.667%,差异有统计学意义(P<0.05)。观察组满意度较干预前显著提升,差异有统计学意义(P<0.05);对照组干预前后满意度比较,差异无统计学意义(P>0.05)。结论早期识别来自外部的精神压力、短期正念训练有助于改善应激状态下肺结核患者心理状况及应对方式,促进患者康复、提升诊疗满意度。Objective To explore the effect of short-term mindfulness training on the psychological state of tuberculosis patients under stress.Methods Seventy-eight pulmonary tuberculosis patients hospitalized in the tuberculosis area of the Jiaxing No.1 Hospital from January 20,to March 20,2020,were retrospectively analyzed.According to the random number table method,the patients were divided into the control group and the observation group,with 39 cases in each group.The control group was given routine diagnosis and treatment,and the observation group was given short-term mindfulness training intervention on the basis of routine diagnosis and treatment.The changes in psychological status,medical coping styles,and satisfaction with diagnosis and treatment before and after intervention between the two groups were compared.Results Compared with before the intervention,the scores of the self-rating symptom scale(SCL-90)decreased after the intervention,and the anxiety,terror factors,and total scores of the observation group decreased more significantly than the control group(P<0.05).Before intervention,there was no significant difference in the scores of the MCMQ between the two groups(P>0.05).There are significant differences in the scores of the MCMQ dimensions in the observation group before and after the intervention(P<0.05).The control group only had differences in avoidance dimensions before and after the intervention(P<0.05).After the intervention,the satisfaction in the observation group was 94.871%,which was significantly higher than that of 66.67%in the control group(P<0.05).The satisfaction in the observation group after the intervention was significantly higher than that before the intervention,and the difference was significant(P<0.05).The satisfaction in the control group before and after the intervention was not significantly different(P>0.05).Conclusion Early identification of mental stress from the outside and short-term mindfulness training can help improve the psychological conditions and coping styles of tu

关 键 词：肺结核 应激 短期正念训练 SCL-90量表 MCMQ量表 满意度 

分 类 号：R395.6[哲学宗教—心理学]