门诊胃食管反流病患者应用正念减压腹式呼吸训练的效果观察

Effect of Mindfulness-based Stress Reduction Abdominal Breathing Training on Gastroesophageal Reflux Disease Outpatients

目的探讨正念减压腹式呼吸训练在门诊胃食管反流病患者中的应用效果。方法采用便利抽样法选择我院消化内科门诊就诊的胃食管反流病患者68例,予以正念减压腹式呼吸操训练3个月,比较干预前、干预4周末、8周末、12周末时68例患者的胃食管反流病症状、健康相关生活质量及焦虑抑郁状况。结果胃食管反流病患者在干预前、干预4周末、干预8周末、干预12周末胃食管反流病状况比较,差异具有统计学意义(F=11.837,P<0.001);胃食管反流病患者在干预前、干预4周末、干预8周末、干预12周末焦虑抑郁得分比较,差异具有统计学意义(P<0.01),随着干预时间的延长,胃食管反流病患者焦虑、抑郁得分降低。胃食管反流病患者在干预前、干预4周末、干预8周末、干预12周末健康相关生活质量得分比较,差异具有统计学意义(P<0.01),随着干预时间的延长,健康相关生活质量得分提高。结论正念减压腹式呼吸训练能够缓解胃食管反流病患者症状,减轻其焦虑抑郁情绪,提高其生活质量。

Objective To explore the effect of mindfulness-based stress reduction(MBSR)abdominal breathing training on gastroesophageal reflux disease(GERD)outpatients.Methods With convenient sampling,68 GERD patients in gastroenterology outpatient in our hospital received MBSR abdominal breathing training for 3 months.Symptoms of GERD,health-related quality of life,anxiety and depression of the patients before the intervention,and 4,8,and 12 weeks after the intervention were compared.Results There was statistical significance regarding to GERD before the intervention,and 4,8,and 12 weeks after the intervention(F=11.837,P<0.001).The score of health-related quality of life,anxiety and depression indicated statistical significance before the intervention,and 4,8,and 12 weeks after the intervention(P<0.01)and with the prolonging of the intervention,the score of health-related quality of life improved while that of anxiety and depression reduced.Conclusion MBSR abdominal breathing training is effective for improving the symptoms of GERD,anxiety and depression and consequently improving patients’quality of life.