正念减压对居家不出伴抑郁老年人的干预效果

Intervention effects of mindfulness-based stress reduction on housebound elders with depression

目的探讨正念减压对居家不出伴抑郁老年人的干预效果。方法采取分层整群随机抽样方法,对1371名≥60岁的社区老年人筛查,将筛查出的86例居家不出伴抑郁状态老年人采用随机数字表法分为干预组和对照组,干预组给予正念减压疗法进行干预,对照组采用空白对照。分别在干预前、干预4周、干预8周后进行居家不出状态评估量表、老年抑郁量表(the geriatric depression scale,GDS)评价。结果干预期间脱落3例,其余83例全部纳入,干预组41例、对照组42例,干预前两组居家不出老年人一般情况比较差异无统计学意义(P>0.05),两组均衡可比。干预后干预组的居家不出总分[(8.4±2.0)分]、抑郁总分[(12.2±4.3)分]均低于对照组,并且差异有统计学意义(P<0.05)。结论正念减压疗法能有效改善老年人的抑郁及居家不出状态。

Objective To explore the effect of mindfulness decompression therapy on the housebound elders with depression.Methods By the stratified random sampling method,screening 1 371 more than 60 year old people in the community,86 cases housebound elders with depression were randomly divided into intervention group and control group.Intervention group received mindfulness decompression therapy intervention,and control group with blank control.The housebound state assessment scale and the Geriatric Depression Scale(GDS)were evaluated before intervention,4 weeks after intervention and 8 weeks after intervention.Results During the intervention period,3 cases were dropped out,83 cases were all included(41 cases in the intervention group and 42 cases in the control group).There was no significant difference between the two groups in the general situation before the intervention(P>0.05),and the balance between the two groups was comparable.After intervention,the total score of housebound(8.4±2.0)and the total score of depression(12.2±4.3)in the intervention group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Mindfulness-based stress reduction can effectively improve the depression and housebound condition of the elderly.