团体正念减压训练对抑郁症患者病耻感及睡眠质量的影响

Effect of group mindfulness-based stress reduction therapy on stigma and sleep quality in depressed patients

目的探索团体正念减压训练对抑郁症患者病耻感和睡眠质量的影响。方法将160例抑郁症患者按照随机数字表法分成两组,对照组(80例)进行医学心理科常规护理干预,观察组(80例)同时给予团体正念减压训练。两组在入院后及出院前测评贬低-歧视感知量表、匹兹堡睡眠质量指数量表(PSQI)、汉密尔顿抑郁量表(HAMD)、简易应对方式问卷(SCSQ)。分析两组护理干预前后对抑郁症患者病耻感和睡眠质量的影响。结果干预后,观察组贬低-歧视感知、睡眠质量、抑郁得分显著低于对照组(均P<0.01);积极应对得分显著高于对照组,消极应对得分显著低于对照组(均P<0.01)。结论应用团体正念减压训练可以降低抑郁症患者病耻感,改善患者睡眠质量。

Objective To explore the effects of group mindfulness-based stress reduction therapy on stigma and sleep quality in patients with depression.Methods Totally,160 depression patients were evenly divided into two groups according to the random number table.The control group received routine nursing care in the department of medical psychology,while the intervention group additionally received group mindfulness-based stress reduction therapy.Perceived Devaluation-Discrimination Scale(PDD),Pittsburgh Sleep Quality Index(PSQI),Hamilton Depression Scale(HAMD)and Simple Coping Style Questionnaire(SCSQ)were used to respectively evaluate the stigma level,depression level and sleep quality of the two groups at admission and before discharge.The effects of different nursing interventions on the stigma and sleep quality between the two groups were analyzed.Results After the intervention,the scores of perceived devaluation-discrimination,sleep quality and depression in the intervention group were significantly lower than those of the control group(P<0.01 for all);the positive coping scores in the intervention group were significantly higher,and the negative coping scores were significantly lower,than those of the control group(P<0.01 for both).Conclusion Group mindfulness-based stress reduction therapy can reduce stigma and improve sleep quality in patients with depression.