正念减压干预对中青年脑卒中患者创伤后应激障碍、自我感受负担及创伤后成长的影响

Effects of Mindfulness-based Stress Reduction on Post-traumatic Stress Disorder, Self-perceived Burden and Post-traumatic Growth in Young and Middle-aged Stroke Patients

目的探讨正念减压(mindfulness-based stress reduction,MBSR)干预对中青年脑卒中患者创伤后应激障碍(post-traumatic stress disorder,PTSD)、自我感受负担及创伤后成长(post-traumatic growth,PTG)的影响。方法采用便利抽样法,选取火箭军特色医学中心于2019-04/2020-04月收治的122例中青年脑卒中患者为研究对象,将其随机分为对照组(n=61)和观察组(n=61),对照组给予常规护理干预,观察组在常规护理基础上增加MBSR干预措施,观察两组干预前和干预8周后PTSD、自我感受负担及PTG的变化。结果干预前两组患者PTSD、自我感受负担量表(self-perceived burden scale,SPBS)及创伤后成长评定量表(posttraumatic growth inventory,PTGI)得分比较差异均无统计学意义(P均>0.05)。干预后观察组PTSD总分、再体验、麻木和回避、过度唤起及SPBS评分均较对照组降低(P均<0.05),观察组PTGI总分、精神变化、生活欣赏、新的可能性、个人力量、人际关系评分均较对照组提高(P均<0.05)。结论MBSR干预能够有效降低中青年脑卒中患者PTSD及自我感觉负担水平,可一定程度上提高患者PTG水平。

Objective To discuss the effects of mindfulness-based stress reduction(MBSR)on post-traumatic stress disorder(PTSD),self-perceived burden and post-traumatic growth(PTG)in young and middle-aged stroke patients.Methods A total of 122 young and middle-aged stroke patients admitted to the characteristic medical center of rocket army from April 2019 to April 2020 were selected as the research objects by convenient sampling method.The paitents were randomly divided into control group(n=61)and observation group(n=61).The control group was given routine nursing intervention,and the observation group was given more MBSR interventions on the basis of routine nursing.The changes of PTSD,self-perceived burden and PTG were observed before and 8 weeks after the intervention.Results Before the intervention,there was no significant difference in the scores of PTSD,self-perceived burden scale(SPBS)and post-traumatic growth inventory(PTGI)between the two groups(all P>0.05).After the intervention,the scores of PTSD,re-experience,numbness and avoidance,over arousal and SPBS in the observation group were lower than those in the control group(all P<0.05).The scores of PTGI,mental change,life appreciation,new possibility,personal strength and interpersonal relationship in the observation group were higher than those in the control group(all P<0.05).Conclusion MBSR intervention can effectively reduce the level of PTSD and self-perceived burde in young and middle-aged stroke patients,which can improve the level of post-traumatic growth of patients to a certain extent.