正念减压疗法对急性缺血性脑卒中患者疾病进展恐惧、睡眠及生命质量的影响  

Effects of mindfulness-based stress reduction therapy on fear of the disease progression,sleep and quality of life in patients with acute ischemic stroke

作　　者：林雄坡 刘云肖 马京华 赵敬 郝子兰 Lin Xiongpo;Liu Yunxiao;Ma Jinghua;Zhao Jing;Hao Zilan(College of Nursing,Hebei University of Chinese Medicine,Shijiazhuang 050200,China;Department of Respiratory and Critical Care Medicine,Henan Provincial People′s Hospital,Zhengzhou 450000,China)

机构地区：[1]河北中医学院护理学院,石家庄050200 [2]河南省人民医院呼吸与危重症医学科,郑州450000

出　　处：《中国实用护理杂志》2024年第3期167-173,共7页Chinese Journal of Practical Nursing

摘　　要：目的探讨正念减压疗法对急性缺血性脑卒中患者疾病进展恐惧、生命质量、睡眠质量的影响,为缓解急性缺血性脑卒中患者恐惧疾病进展程度,改善睡眠、生命质量提供干预措施。方法采用随机对照研究,便利抽样法选取2021年11月至2022年9月在河北医科大学第三医院神经内科就诊的98例急性缺血性脑卒中患者为研究对象,采用随机数字表法将研究对象分为试验组和对照组各49例。对照组采用常规护理,试验组在常规护理基础上进行为期8周的正念减压疗法。采用两独立样本t检验比较2组患者干预前后恐惧疾病进展量表(FoP-Q-SF)、脑卒中专用生命质量量表(SS-QOL)和匹兹堡睡眠质量指数量表(PSQI)的得分,并采用Mann-Whitney U秩和检验进一步比较2组患者干预前后各量表得分的差值。结果试验组脱落4例,问卷信息不完善3例,对照组脱落2例,问卷信息不完善5例,最终每组纳入42例。对照组男23例,女19例,年龄(48.31±7.61)岁;试验组男25例,女17例,年龄(50.19±8.64)岁。干预前2组患者FoP-Q-SF、SS-QOL、PSQI得分比较,差异均无统计学意义(均P>0.05)。干预后试验组FoP-Q-SF和PSQI得分分别为(35.79±7.04)、(7.19±2.58)分,低于对照组的(38.52±4.02)、(9.45±2.28)分,SS-QOL得分为(200.36±21.75)分,高于对照组的(185.41±15.90)分,差异均有统计学意义(t=2.19、-4.26、3.60,均P<0.05)。试验组干预后FoP-Q-SF、PSQI得分均低于干预前(39.69±4.15)、(10.00±2.85)分,SS-QOL得分高于干预前(176.93±23.54)分,差异均有统计学意义(t=4.80、10.45、-11.43,均P<0.05)。试验组干预前后FoP-Q-SF、SS-QOL、PSQI得分差值分别为1.00(0.00,9.25)、20.00(12.75,32.75)、3(1,4)分,均高于对照组的1.00(-1.25,2.00)、5.50(1.00,10.25)、0(-1,2)分,差异均有统计学意义(Z=-2.30、-5.74、-5.53,均P<0.05)。结论正念减压疗法可以有效缓解急性缺血性脑卒中患者疾病进展恐惧,改善睡眠,提升生命质量。Objective To explore the effects of mindfulness-based decompression therapy on fear of disease progression,quality of life and sleep quality in patients with acute ischemic stroke,in order to provide intervention measures to alleviate fear of the disease progression degree and improve sleep and quality of life in patients with acute ischemic stroke.Methods This study was a randomized controlled study.Using the convenience sampling method,98 patients with acute ischemic stroke who attended the Department of Neurology at the Third Hospital of Hebei Medical University from November 2021 to September 2022 were selected for the study,and the study population was divided into experimental group(n=49)and control group(n=49)using the random number table method.The control group received conventional care,and the experimental group received mindfulness-based stress reduction therapy for 8 weeks in addition to conventional care.Compared the scores of the Fear of Progression Questionnaire-Short Form(FoP-Q-SF),Stroke-Specific Quality of Life Scale(SS-QOL),and Pittsburgh Sleep Quality Index(PSQI)between the two groups of patients before and after intervention using two independent sample t-tests,and further compared the score spread of each scale before and after intervention between the two groups of patients using Mann-Whitney U test.Results In the experimental group,4 cases fell off and 3 cases had imperfect questionnaire information,while in the control group,2 cases fell off and 5 cases had imperfect questionnaire information.Finally,42 cases were included in each group.The 23 males and 19 females in the control group aged(48.31±7.61)years old,while 25 males and 17 females in the experimental group aged(50.19±8.64)years old.There was no significant difference in FoP-Q-SF,SS-QOL and PSQI scores between the two groups before intervention(all P>0.05).After intervention,the scores of FoP-Q-SF and PSQI in the experimental group(35.79±7.04,7.19±2.58)were lower than those in the control group(38.52±4.02,9.45±2.28),while t

关 键 词：生活质量 正念减压疗法 缺血性脑卒中 恐惧 睡眠质量 

分 类 号：R473.74[医药卫生—护理学]