正念减压疗法对混合性焦虑抑郁障碍病人的干预效果  

Intervention efficacy of mindfulness-based stress reduction therapy in patients with mixed anxiety and depressive disorder

作　　者：陈娟秀 梁嘉权 潘锦环[1] 王晓妮 陈晓仪 CHEN Juanxiu;LIANG Jiaquan;PAN Jinhuan;WANG Xiaoni;CHEN Xiaoyi(The Third People′s Hospital of Foshan(Department of Clinical Psychology),Guangdong 528000 China)

机构地区：[1]佛山市第三人民医院(佛山市精神卫生中心),广东528000

出　　处：《循证护理》2022年第21期2909-2914,共6页Chinese Evidence-Based Nursing

基　　金：佛山市卫生健康局,编号:20220809A010498。

摘　　要：目的:探讨正念减压疗法(MBSR)对混合性焦虑抑郁障碍(MADD)病人的干预效果。方法:遵循前瞻性随机对照研究思路,将佛山市第三人民医院2021年8月—2021年11月收治的MADD病人118例随机分为对照组与研究组,每组59例。对照组实施常规干预;研究组在对照组基础上开展为期8周的MBSR。采用状态特质焦虑量表(STAI)、贝克抑郁量表(BDI)评价MADD病人的焦虑、抑郁状况;采用匹兹堡睡眠质量指数量表(PSQI)评价MADD病人的睡眠质量;采用我院临床心理科设计的MADD躯体症状调查表调查MADD病人的躯体症状。结果:最终纳入对照组48例、研究组52例;干预8周后研究组状态焦虑量表(S-AI)、特质焦虑量表(T-AI)及贝克抑郁量表(BDI)评分均低于对照组,差异有统计学意义(P<0.05);研究组干预8周后的PSQI量表总分及其维度睡眠质量、入睡时间、睡眠效率、睡眠紊乱、催眠药物、日间功能维度得分均低于对照组,差异有统计学意义(P<0.05);研究组干预8周后的自主神经功能紊乱症状、呼吸系统异常症状、消化系统异常症状、全身症状得分及总分均低于对照组,差异有统计学意义(P<0.05)。结论:正念减压疗法可减轻混合性焦虑抑郁障碍病人的焦虑、抑郁程度,提升睡眠质量,改善躯体症状。Objective:To explore the intervention efficacy of mindfulness-based stress reduction(MBSR) in patients with mixed anxiety-depressive disorder(MADD).Methods:Following the idea of prospective randomized controlled study,118 MADD patients received from the Third People′s Hospital of Foshan City from August 2021 to November 2021 were randomly divided into the control group and the study group,each group contained 59 cases.The control group were given routine intervention;the study group were given 8-week MBSR on the basis of the control group.The State-Trait Anxiety Inventory(STAI) and Baker Depression Inventory(BDI) were used to evaluated the anxiety and depression of MADD patients;the Pittsburgh Sleep Quality Index(PSQI) were used to evaluated the sleep quality of MADD patients;The MADD Somatic Symptom Questionnaire designed by the Department of Clinical Psychology were used to evaluated the somatic symptoms of MADD patients.Results:48 cases in the control group and 52 cases in the study group were included in the final analysis.The S-AI,T-AI and BDI scores of the study group after 8 weeks intervention were lower than that of the control group during the same period,and the differences were statistically significant(P<0.05).The sleep quality,sleep onset time,sleep efficiency,sleep disturbance,hypnotic drugs,daytime function dimension scores and total scores of the PSQI scale in the group after 8 weeks of intervention were lower than that of the control group during the same period,and the differences were statistically significant(P<0.05).The scores of autonomic dysfunction symptoms,respiratory system abnormalities,digestive system abnormalities,systemic symptoms and total scores in the study group after 8 weeks of intervention were lower than that of the control group during the same period,with statistically significant differences(P<0.05).Conclusion:Mindfulness-based stress reduction therapy can reduce anxiety and depression,improve sleep quality,and improve somatic symptoms in patients with mixed anxiety-depr

关 键 词：正念减压疗法 混合性焦虑抑郁障碍 焦虑 抑郁 躯体症状 护理 

分 类 号：R473.74[医药卫生—护理学]