正念冥想训练对慢性心力衰竭患者胃肠道症状及情绪的康复效果  

Rehabilitation effect of mindfulness meditation training on gastrointestinal symptoms and emotions in patients with chronic heart failure

作　　者：赵新娜 ZHAO Xin-na(Department of Cardiovascular Medicine,Fenyang Hospital of Shanxi Province,Fenyang,Shanxi,032200,China)

机构地区：[1]山西省汾阳医院心血管内科,山西汾阳032200

出　　处：《心血管康复医学杂志》2025年第2期145-150,共6页Chinese Journal of Cardiovascular Rehabilitation Medicine

基　　金：2022年度吕梁市科技计划项目(2022SHFZ20)。

摘　　要：目的:研究正念冥想训练对慢性心力衰竭(CHF)患者胃肠道症状及情绪的康复效果。方法:选择2022年6月-2023年5月山西省汾阳医院收治的CHF患者100例,依据住院时间先后分为对照组和干预组(接受正念冥想训练干预),每组50例,两组均干预8周。比较两组患者胃肠道症状分级量表(GSRS)、简式心境评估量表(POMS-SF)评分及临床情况。结果:干预8周后,与对照组比较,干预组GSRS总分[9.00(3.00)分比14.0(2.00)分]显著降低(P<0.001);POMS-SF量表中负性情绪紧张-焦虑(TA)[(4.14±0.90)分比(5.14±0.81)分]、愤怒-敌意(AH)[(4.34±0.96)分比(5.16±0.51)分]、抑郁-沮丧(DD)[(4.42±0.88)分比(5.14±0.86)分]、疲乏-迟钝(FI)[(4.62±0.60)分比(5.32±0.77)分]、迷惑-混乱(CB)[(4.24±0.74)分比(5.24±0.62)分]各维度得分显著降低(P均<0.001),正性情绪精力-活力(VA)[(16.82±3.21)分比(12.84±2.32)分]维度得分显著升高(P<0.001)。干预组患者血清N末端脑钠肽原(NT-proBNP)水平[(2.03±0.42)μg/L比(2.35±0.50)μg/L,P<0.001]显著低于对照组。结论:正念冥想训练对CHF患者胃肠道症状及情绪的康复效果良好,可提高患者的积极心境水平,降低消极心境水平,改善患者胃肠道症状。Objective:To study the rehabilitation effect of mindfulness meditation training on gastrointestinal symptoms and emotions in patients with chronic heart failure(CHF).Methods:We enrolled 100 CHF patients admitted in Fenyang Hospital of Shanxi Province between June 2022 and May 2023.They were divided into control group(n=50,routine nursing)and intervention group(n=50,additional mindfulness meditation training intervention)according to hospitalization time order.Both groups were intervened for 8 weeks.Scores of gastrointestinal symptom rating scale(GSRS),profile of mood states-short form(POMS-SF)and clinical conditions were compared between the two groups.Results:Compared with patients in control group after 8-week intervention,those in intervention group had significant lower GSRS total score[9.00(3.00)points vs.14.0(2.00)points,P<0.001],dimensional scores of tension-anxiety(TA)[(4.14±0.90)points vs.(5.14±0.81)points],anger-hostility(AH)[(4.34±0.96)points vs.(5.16±0.51)points],depression-dejection(DD)[(4.42±0.88)points vs.(5.14±0.86)points],fatigue-inertia(FI)[(4.62±0.60)points vs.(5.32±0.77)points],confusion-bewilderment(CB)[(4.24±0.74)points vs.(5.24±0.62)points],and significant higher dimensional score of vigor-activity(VA)[(16.82±3.21)points vs.(12.84±2.32)points]in POMS-SF scale(P<0.001 all).Serum N-terminal pro brain natriuretic peptide(NT-proBNP)level[(2.03±0.42)μg/L vs.(2.35±0.50)μg/L,P<0.001]in intervention group was significantly lower than that of control group.Conclusion:Mindfulness meditation training has a good effect on the rehabilitation of gastrointestinal symptoms and emotions in CHF patients.It could improve the positive mood state and reduce the negative mood state,and improve gastrointestinal symptoms.

关 键 词：心力衰竭 护理 情绪 

分 类 号：R541.61[医药卫生—心血管疾病]