基于正念减压的情绪管理策略对颅内动脉瘤患者负性情绪及生活质量的影响  

Effect of emotion management based on mindfulness decompression on negative mood andquality of life in patients with intracranial aneurysm

作　　者：关欣[1] 赵媛媛 高雅 于志伟[1] 赵诚 张凤贤 王子佳[1] 王军[1] GUAN Xin;ZHAO Yuanyuan;GAO Ya;YU Zhiwei;ZHAO Cheng;ZHANG Fengxian;WANG Zijia;WANG Jun(Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院,北京100053

出　　处：《中国实用神经疾病杂志》2023年第1期98-103,共6页Chinese Journal of Practical Nervous Diseases

基　　金：国家重点研发计划重大慢性非传染性疾病防控重点专项(编号:2016YFC1300800)。

摘　　要：目的 探讨基于正念减压的情绪管理策略对颅内动脉瘤患者负性情绪及生活质量的影响。方法采用便利采样方法,将拟行手术治疗的颅内动脉瘤患者分为实验组和对照组,每组33例。实验组在常规治疗及护理的基础上实施正念护理干预,对照组接受常规治疗及护理。借助焦虑自评量表(SAS)、抑郁自评量表(SDS)、生活质量量表(SF-36)对2组患者的负性情绪指标和生活质量进行评定。结果 干预后实验组患者焦虑、抑郁得分低于对照组,差异有统计学意义(P<0.01)。实验组生理功能、生理职能、躯体疼痛、健康状况、精神健康各分项得分及总分均明显高于干预前(P<0.01),且实验组生理职能、躯体疼痛、情感职能各分项得分及总分均高于对照组,干预后组间比较,差异均有统计学意义(P<0.01)。结论 基于正念减压的情绪管理策略可有效缓解围手术期颅内动脉瘤患者焦虑、抑郁情绪,提升其生活质量。Objective To explore the effect of emotion management based on mindfulness decompression on negative emotion and quality of life of perioperative patients with intracranial aneurysms.Methods Using con⁃venient sampling method,intracranial aneurysm patients were divided into experimental and control groups with 33 patients.The experimental group performed mindfulness nursing intervention on the basis of routine treatment and nursing,and the control group received routine treatment and care.Negative mood indicators and quality of life in both groups were evaluated with the self-rating anxiety scale(SAS),the self-rating depression scale(SDS),and the quality of life scale(medical outcomes study short-form 36,SF-36).Results The anxiety and depression scores were lower than those in the controls,and the differences were statistically significant(P<0.01).The sub⁃score and total score of physical function,physiological function,physical pain,health status and mental health were significantly higher than before intervention(P<0.01),and the physical function,physical pain and emotion⁃al function were higher than the control group.After intervention,the differences had statistical significance(P<0.01).Conclusion Nursing emotion management based on mindfulness decompression can effectively relieve the anxiety and depression of operative intracranial aneurysm patients and improve their quality of life.

关 键 词：颅内动脉瘤 正念减压 情绪管理 焦虑 抑郁 生活质量 

分 类 号：R473.74[医药卫生—护理学]