正念减压结合针刺疗法对溃疡性结肠炎患者症状改善、心理和谐及睡眠质量的影响  

Effects of mindfulness based stress reduction combined with acupuncture on symptom improvement,psychological harmony and sleep quality in patients with ulcerative colitis

作　　者：杨靖华 李玉瑾 王丽 YANG Jinghua;LI Yujin;WANG Li Henan(Provincial Hospital of Traditional Chinese Medicine(The Second Affiliated Hospital of Henan University of Traditional Chinese Medicine),Zhengzhou 450002,China)

机构地区：[1]河南省中医院(河南中医药大学第二附属医院),郑州450002

出　　处：《中国健康心理学杂志》2021年第10期1481-1486,共6页China Journal of Health Psychology

基　　金：河南省科技攻关项目(编号:182102311164)。

摘　　要：目的:研究正念减压结合针刺疗法对溃疡性结肠炎(Ulcerative colitis,UC)患者症状改善、心理和谐及睡眠质量的影响。方法:选取2019年1—12月在某院就诊的UC患者120例,按随机数字表法分实验组与对照组,每组60例;对照组接受针刺疗法及常规干预,实验组在对照组基础上联合正念减压疗法;比较两组症状改善、心理和谐、睡眠质量及生存质量。结果:干预后两组症状积分较干预前明显下降(t=11.418,11.393,11.580,11.609,9.555,9.894,10.900,10.930,9.407,32.419,9.730,9.939,9.269,8.824,9.060,10.192,7.080,12.760,8.485,32.204;P<0.05),实验组腹泻、腰酸、形寒怕冷、食少、腹痛、腹胀及总积分均低于对照组(t=-3.775,-6.750,-3.635,-2.530,-2.955,-4.296,-8.772;P<0.05);干预后两组躯体化、强迫症状、人际关系敏感、抑郁、焦虑、恐怖、精神病性及SCL-90总分较干预前明显下降(t=14.088,8.596,20.093,26.000,10.900,16.724,14.475,40.895,8.838,5.264,11.968,13.346,4.557,6.521,4.580,19.617;P<0.05),实验组躯体化、强迫症状、人际关系敏感、抑郁、焦虑、恐怖、精神病性及SCL-90总分均低于对照组(t=-3.871,-2.532,-3.998,-10.603,-8.078,-11.645,-9.296,-16.524;P<0.05);干预后两组PSQI评分睡眠质量、入睡时间、睡眠时间、睡眠效率、催眠药物使用、日间功能障碍及PSQI总分较干预前明显下降(t=11.295,10.518,11.244,7.215,14.859,5.229,7.618,27.587,6.936,7.904,17.642,7.429,7.404,4.040,9.936,24.344;P<0.05),实验组PSQI评分睡眠质量、入睡时间、睡眠障碍、PSQI总分低于对照组(t=-6.557,-2.005,-7.445,-6.688;P<0.05);干预后两组肠道症状、全身症状、情感功能、社会功能及IBDQ总分较干预前明显上升(t=-9.776,-13.704,-11.005,-13.827,-22.593,-6.855,-8.233,-9.702,-10.222,-16.998;P<0.05),实验组肠道症状、全身症状、情感功能、社会功能及IBDQ总分高于对照组(t=4.629,7.333,3.111,7.242,8.922;P>0.05)。结论:较针刺治疗,联合正念减压疗法对UC患者症�Objective:To study the effects of mindfulness based stress reduction(MBSR)combined with acupuncture on symptom improvement,psychological harmony and sleep quality in patients with ulcerative colitis(UC).Methods:A total of 120UC patients treated in the hospital from January to December 2019were enrolled and divided into experimental group and control group according to random number table method,60cases in each group.The control group was given acupuncture and routine intervention,while experimental group was given MBSR on basis of control group.The improvement of symptoms,psychological harmony,sleep quality and quality of life were compared between the two groups.Results:After intervention,scores of symptoms in both groups were significantly decreased(t=11.418,11.393,11.580,11.609,9.555,9.894,10.900,10.930,9.407,32.419,9.730,9.939,9.269,8.824,9.060,10.192,7.080,12.760,8.485,32.204;P<0.05).The scores of diarrhea,soreness of waist,coldness,reduced appetite,abdominal pain and abdominal distension,and total score in experimental group were lower than those in control group(t=-3.775,-6.750,-3.635,-2.530,-2.955,-4.296,-8.772;P<0.05).After intervention,scores of somatization,obsessive-compulsive symptoms,interpersonal sensitivity,depression,anxiety,phobia and psychosis,and total score of symptom checklist-90(SCL-90)in both groups were significantly decreased(t=14.088,8.596,20.093,26.000,10.900,16.724,14.475,40.895,8.838,5.264,11.968,13.346,4.557,6.521,4.580,19.617;P<0.05),which were lower in experimental group than control group(t=-3.871,-2.532,-3.998,-10.603,-8.078,-11.645,-9.296,-16.524;P<0.05).After intervention,scores of sleep quality,falling asleep time,sleep time,sleep efficiency,hypnotics usage and daytime dysfunction,and total score of Pittsburgh Sleep Quality Index(PSQI)in both groups were significantly decreased(t=11.295,10.518,11.244,7.215,14.859,5.229,7.618,27.587,6.936,7.904,17.642,7.429,7.404,4.040,9.936,24.344;P<0.05),scores of sleep quality,falling asleep time,sleep disturbance and total score of PSQI in

关 键 词：溃疡性结肠炎 针刺 正念减压 心理和谐 症状改善 睡眠质量 

分 类 号：R749.92[医药卫生—神经病学与精神病学]