| 李洪娟,汪秀云,刘霞,等.正念减压疗法对永久性肠造口病人病耻感、焦虑抑郁及生活质量的影响[J].安徽医药,2019,23(8):1608-1613. |
| 正念减压疗法对永久性肠造口病人病耻感、焦虑抑郁及生活质量的影响 |
| Effect of mindfulness-based stress reduction on stigmatization,anxiety,depression and quality of life for permanent colostomy patients |
| 投稿时间：2018-04-18 |
| DOI： |
| 中文关键词: 结肠造口术 身心疗法 正念减压疗法 病耻感 焦虑 抑郁 生活质量 |
| 英文关键词: Colostomy Mind-body therapies Mindfulness-based stress reduction Stigma Anxiety Depression Quality of life |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨正念减压疗法对永久性肠造口病人病耻感、焦虑抑郁程度及生活质量的影响。方法 采用便利抽样,选择四川大学华西医院腹部肿瘤科2017年3—10月接受放化疗的永久性肠造口病人96例,按病区分为治疗组及对照组,各48例。对照组接受常规护理,治疗组在常规护理的同时接受8周正念减压疗法。在干预前、干预完成时及干预完成后3个月,使用社会影响量表(SIS)、医院焦虑抑郁量表(HADS)、造口病人生活质量量表(Stoma-QOL)进行评定。结果 8周正念减压干预后,治疗组病人SIS 总分得分为(53.20±6.47)分,HADS-A得分为(6.71±3.40)分,HADS-D得分为(6.51±3.05)分,Stoma-QOL得分为(49.16±6.97)分；干预完成后3个月,治疗组病人SIS 总分得分为(48.20±5.69)分,HADS-A得分为(6.13±3.45)分,HADS-D得分为(5.58±3.26)分,Stoma-QOL得分为(50.75±6.82)分；两组病人病耻感总分组间比较、时间比较、分组与时间的交互作用差异有统计学意义(均P＜0.001)；两组病人的焦虑得分的组间比较、时间比较、分组与时间的交互作用差异有统计学意义(P＜0.001,P=0.009,P＜0.001)；两组病人的抑郁得分的组间比较、时间比较、分组与时间的交互作用差异有统计学意义(P＜0.001,P=0.035,P=0.004)；两组病人生活质量得分的组间比较、时间比较、分组与时间的交互作用差异有统计学意义(P＜0.001,P=0.006,P＜0.001)。结论 正念减压疗法能有效缓解永久性肠造口病人的病耻感及焦虑抑郁情绪,提高其生活质量。 |
| 英文摘要: |
| Objective To evaluate the effects of mindfulness-based stress reduction (MBSR) on stigmatization,anxiety,depression and quality of life for permanent colostomy patients.Methods A total of 98 patients with permanent colostomy undergoing chemo-radiotherapy in Department of Abdominal Cancer,West China Hospital from March 2017 to October 2017 were recruited and randomly assigned into the experimental group and the control group according to different wards,with 48 cases in each group.All patients received routine treatment and nursing care.Additionally,the experimental group received 8 weeks of MBSR.The intervention effects were evaluated by Social Impact Scale (SIS),Hospital Anxiety and Depression Scale (HADS),stoma quality of life (Stoma-QOL) among three periods:before the intervention,after the intervention and 3 months after the intervention.Results After the intervention,in the experiment group,the total scores of SIS is (53.20±6.47),the scores of HADS-A is (6.71±3.40),the scores of HADS-D is (6.51±3.05),and the scores of Stoma-QOL is (49.16±6.97);3 months after the intervention,in the experiment group,the total scores of SIS is (48.20±5.69),the scores of HADS-A is (6.13±3.45),the scores of HADS-D is (5.58±3.26),and the scores of Stoma-QOL is (50.75±6.82).The between effect,time effect,intervention and time factor on Stigmatization total scores between the two the groups were significant (all P＜0.001,respectively).The between effect,time effect,intervention and time factor on anxiety scores between the two the groups were significant (P＜0.001,P=0.009 and P＜0.001,respectively).The between effect,time effect,intervention and time factor on anxiety,depression scores between the two the groups were significant (P＜0.001,P=0.035 and P=0.004,respectively).The between effect,time effect,intervention and time factor on stoma quality of life scores between the two the groups were significant (P＜0.001,P=0.006 and P＜0.001,respectively).Conclusion MBSR can effectively relieve Stigma,anxiety,depression for permanent colostomy patients undergoing chemo-radiotherapy,and help to improve the quality of life. |
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