正念训练干预对带状疱疹患者神经痛的效果观察  

Observation on the Effectiveness of Mindfulness Training Intervention on Patients with Postherpetic Neuralgia

作　　者：唐果[1] 孙惠[1] 陈雅欣 王蕾[1] 刘伟红[1] Tang Guo;Sun Hui;Chen Yaxin;Wang Lei;Liu Weihong(Pain Management Department,The First Medical Center of PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心疼痛科,北京市100853

出　　处：《中国病案》2022年第7期106-108,共3页Chinese Medical Record

摘　　要：目的 探讨正念训练干预对带状疱疹神经痛患者正念水平、疼痛及情绪的影响,为正念训练应用于带状疱疹神经痛治疗提供理论依据。方法 采用随机对照试验,选取某院2019年1月1日-2021年7月31日符合带状疱疹神经痛诊断标准患者60例,观察组应用正念训练干预(30例),对照组应用常规心理护理干预(30例),干预6周后比较2组患者正念水平、疼痛与焦虑抑郁程度。结果 干预后观察组正念水平(64.55±5.83)分,对照组正念水平(54.12±5.71)分,差异有统计学意义(P<0.05);2组患者疼痛CPAQ-8各维度各部分评分比较,差异有统计学意义(P<0.05);2组患者焦虑、抑郁情绪程度HADS总评分比较,观察组(18.12±1.547)分,对照组(19.20±1.769)分,差异有统计学意义(P<0.05)。结论 正念训练干预疗法能够提高带状疱疹神经痛患者正念水平,减轻疼痛程度、改善焦虑、抑郁情绪。Objectives This study aims to investigate the effectiveness of mindfulness training intervention on mindfulness level, pain and emotion of patients with postherpetic neuralgia, in order to provide theoretical basis for the application of mindfulness training in the treatment of postherpetic neuralgia. Methods 60 patients who met the diagnostic criteria for postherpetic neuralgia in a hospital from January 1,2019 to July 31,2021 were selected. 30cases were randomly assigned to an observation group treated with mindfulness training intervention, while the other 30 cases were assigned to a control group treated with routine psychological nursing intervention. After 6 weeks of intervention, the mindfulness level, pain level, anxiety and depression level of the two groups were compared.Results After intervention, the mindfulness level of the observation group was 64.55±5.83 points, while that of the control group was 54.12± 5.71 points, and the difference was statistically significant(P<0.05). The scores in Chronic Pain Acceptance Questionnaire 8(CPAQ-8) in two groups were compared, and the difference was statistically significant(P<0.05). The total scores of Hospital Anxiety and Depression Scale(HADS) in two groups were compared. The observation group had the total HADS scores of 18.12±1.547, while the control group had the scores of 19.20±1.769. The difference in HADS was statistically significant(P<0.05). Conclusions The therapeutic intervention of mindfulness training can improve the mindfulness level of patients with postherpetic neuralgia, reduce pain, and reduce anxiety and depression.

关 键 词：正念训练 干预疗法 带状疱疹后神经痛 效果观察 

分 类 号：R473.75[医药卫生—护理学]