基于正念减压疗法的心理干预对择期手术患者应激反应的影响

The effectiveness of psychological intervention of mindfulness based stress reduction on stress reaction for selective operation patients

目的探讨正念减压疗法对择期手术患者应激反应的影响。方法将200例择期手术患者分为观察组102例和对照组98例。对照组给予常规护理,观察组在此基础上依据正念减压疗法中的身体扫描、正念呼吸、正念冥想、步行冥想、正念瑜伽、正念内省6种方法进行护理干预。结果观察组患者术前、术中、术后的收缩压、心率和焦虑、抑郁评分均低于对照组(P<0.01)。结论正念减压疗法能有效降低手术患者的血压、心率变化,减轻患者焦虑、抑郁情绪,有利于麻醉和手术的顺利实施,对疾病的康复有促进作用。

Objective To explore the effectiveness of psychological intervention of mindfulness based stress reduction on stress reaction for selective opera- tion patients. Methods Totally ,200 selective operation patients were divided into the observation group with 102 cases and the control group with 98 cases. Pa- tients in the control group were given conventional nursing, while patients in the observation group were given additional body scan, mindful breathing, mindfulness meditation, walking meditation, mindfulness, yoga, mindfulness introspection according to mindfulness based stress reduction. Results systolic pressure, heart rate, anxiety and depression score of patients in the observation group before, during and after operation were lower than those in the control group（ P 〈 0.01 ）. Conclusion mindfulness based stress reduction can effectively decrease blood pressure, heart rate variation, anxiety and depression of surgical patients, which can benefit the smooth implementation of anesthesia and operation, and promote rehabilitation of disease.