正念冥想训练在全髋关节置换术后患者中的应用效果  

Application effect of mindfulness meditation training on patients after total hip arthroplasty

作　　者：陈波珍 蒋舒芳 吕文珺 CHEN Bozhen;JIANG Shufang;LYU Wenjun(Acupuncture and Moxibustion District 3,Nanchang Hongdu Hospital of TCM,Jiangxi Province,Nanchang 330000,China;Rehabilitation Zone 2,Nanchang Hongdu Hospital of TCM,Jiangxi Province,Nanchang 330000,China;Rehabilitation Zone 4,Nanchang Hongdu Hospital of TCM,Jiangxi Province,Nanchang 330000,China)

机构地区：[1]南昌市洪都中医院针灸三区,江西南昌330000 [2]南昌市洪都中医院康复二区,江西南昌330000 [3]南昌市洪都中医院康复四区,江西南昌330000

出　　处：《中国当代医药》2025年第2期149-152,157,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202311327)。

摘　　要：目的探讨在全髋关节置换术后患者中采取正念冥想训练的作用。方法选取2021年9月至2023年9月于南昌市洪都中医院行全髋关节置换术治疗的70例患者作为研究对象,根据随机数字表法将其分为对照组(35例)和观察组(35例)。对照组采取常规护理,观察组在对照组基础上采取正念冥想训练。比较两组患者的认知功能、心理状态、疼痛程度以及皮下自控镇痛泵(PCSA)药物用量。结果观察组患者干预后的简明智能状态量表(MMSE)各项评分均高于对照组,差异有统计学意义(P<0.05);观察组患者干预后的抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均低于对照组,差异有统计学意义(P<0.05);观察组术后24 h的视觉模拟评分法(VAS)评分低于对照组,差异有统计学意义(P<0.05);观察组术后1、24 h的PCSA药物消耗量,以及按压次数均少于对照组,差异有统计学意义(P<0.05)。结论正念冥想训练应用于全髋关节置换术后患者中效果确切,可调节患者消极心理状态,提升患者自控力,达到保护认知功能的目的,有效提升术后镇痛水平,进而减少PCSA药物用量。Objective To investigate the role of mindfulness meditation training in patients after total hip replacement.Methods Seventy patients who underwent total hip arthroplasty in Nanchang Hongdu Hospital of TCM from September 2021 to September 2023 were selected as the study objects,and were divided into control group(35 cases)and observation group(35 cases)according to random number table method.The control group received routine nursing,and the observation group received mindfulness meditation training on the basis of the control group.The cognitive function,psychological status,pain level,and dosage of patient controlled subcutaneous analgesia(PCSA)were compared between the two groups of patients.Results The scores of mini-mental state examination(MMSE)in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The self-rating depression scale(SDS)and self-rating anxiety scale(SAS)scores of the observation group were lower than those of the control group after intervention,the differences were statistically significant(P<0.05).The visual analogue scale(VAS)score 24 h after operation in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).PCSA consumption and compression times in the observation group at 1 and 24 h after operation were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion The combination of mindfulness meditation training and multimodal analgesia has a definite effect on patients after total hip arthroplasty.It can regulate the negative psychological state of patients,improve their self-control,achieve the goal of protecting cognitive function,effectively improve postoperative analgesia level,and thereby reduce the dosage of PCSA drugs.

关 键 词：全髋关节置换术 正念冥想训练 多模式镇痛 认知功能 心理状态 疼痛程度 

分 类 号：R684[医药卫生—骨科学]