正念减压疗法对消化内镜诊疗患者焦虑情绪及睡眠质量的影响  

Effects of Mindfulness Decompression Therapy on Anxiety and Sleep Quality in Patients Undergoing Gastrointestinal Endoscopy

作　　者：王连桂[1] WANG Liangui(Endoscopic Treatment Department,The Fifth People′s Hospital of Ji′nan,Ji′nan 250023,China)

机构地区：[1]济南市第五人民医院内镜诊疗科,济南250022

出　　处：《世界睡眠医学杂志》2023年第5期1086-1089,共4页World Journal of Sleep Medicine

摘　　要：目的:探讨正念减压疗法对消化内镜诊疗患者焦虑情绪及睡眠质量的影响。方法:选取2020年1月至2021年10月济南市第五人民医院收治的欲行消化内镜诊疗的住院患者78例作为研究对象,按照随机数字表法分为对照组和观察组,每组39例。对照组患者在检查前采取常规护理,观察组患者在常规护理基础上,增加正念减压疗法干预,比较2组患者干预前后焦虑抑郁情况,睡眠质量情况,并比较2组患者内镜诊疗过程中基础值(T_(1)),入镜时(T_(2)),检查结束时(T_(3))不同时间生命体征波动情况。结果:干预后2组患者的抑郁自评量表(SDS)和焦虑自评量表(SAS)评分均降低,且观察组低于对照组,差异均有统计学意义(均P<0.05);干预后2组患者的日间功能、催眠药物、睡眠障碍、睡眠效率、睡眠时间、入睡时间、睡眠质量和匹兹堡睡眠质量指数(PSQI)总评分均降低,且观察组低于对照组,差异均有统计学意义(均P<0.05);T_(1)到T_(3)时间对照组血氧饱和度(SPO_(2))、平均动脉压(MAP)、心率(HR)比较差异无统计学意义(P>0.05),T_(1)到T_(3)时间观察组SPO_(2)、HR、MAP比较,差异有统计学意义(P<0.05),T_(2)时间观察组与对照组患者SPO_(2)、HR、MAP比较,差异均有统计学意义(均P<0.05)。结论:对消化内镜诊疗患者采取正念减压疗法能够减轻患者焦虑抑郁情绪,提高患者检查前的睡眠质量,进一步稳定内镜诊疗过程中的生命体征波动,值得临床应用推广。Objective:To explore the effect of mindfulness decompression therapy on anxiety and sleep quality in patients undergoing gastrointestinal endoscopy.Methods:A total of 78 hospitalized patients who underwent pre digestive endoscopy diagnosis and treatment at the Fifth People′s Hospital of Ji′nan from January 2020 to October 2021 were selected as the research subjects.They were randomly divided into a control group and an observation group,with 39 patients in each group.The control group patients received routine care before the examination,while the observation group patients received additional mindfulness decompression therapy intervention on the basis of routine care.The anxiety and depression levels,sleep quality,and baseline values(T_(1))during endoscopic diagnosis and treatment,as well as the fluctuation of vital signs at different times at the time of entry(T_(2))and end of examination(T_(3))were compared between the two groups of patients before and after the intervention.Results:After intervention,the scores of the Self-rating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS)in both groups of patients decreased,and the observation group was lower than the control group,with statistically significant differences(P s<0.05).After the intervention,the daytime function,hypnotics,sleep disorder,sleep efficiency,sleep time,falling asleep time,sleep quality and the total score of Pittsburgh Sleep Quality Index(PSQI)scale of patients in the two groups decreased,and the observation group was lower than the control group,the differences were statistically significant(P s<0.05).There was no significant difference in blood oxygen saturation(SPO_(2)),mean arterial pressure(MAP)and heart rate(HR)in the control group from T_(1) to T_(3)(P>0.05).There was a statistically significant difference in SPO_(2),HR and MAP in the observation group from T_(1) to T_(3)(P<0.05),and there was statistically significant differences in SPO_(2),HR and MAP of T_(2) between the observation group and the control group(P s<0.05).Con

关 键 词：正念减压疗法 消化内镜 焦虑情绪 睡眠质量 生命体征 

分 类 号：R749.055[医药卫生—神经病学与精神病学] R338.63[医药卫生—临床医学]