正念冥想联合绘画减压法对急性缺血性脑卒中神经介入术患者心境状态、生命意义的影响

Effect of mindfulness meditation combined with painting decompression on mood state and life significance of patients with acute ischemic stroke undergoing neurointervention

目的:探讨正念冥想联合绘画减压法对急性缺血性脑卒中神经介入术患者心境状态、生命意义的影响。方法:选取某院2019年1月-2020年12月收治的需行神经介入术的急性缺血性脑卒中104例,随机分为研究组(n=52)与对照组(n=52),对照组给予常规干预,实验组在对照组基础上实施正念冥想与绘画减压法。比较两组患者入院时及出院前1d的简明心境量表中文版(Brief Profile of Mood State, BPOMS)评分、心理一致感问卷(Sense of Coherence-13,SOC-13)评分、生命意义感量表(Meaning in Life Questionnaire, MLQ)评分。结果:干预后,研究组BPOMS量表中紧张-焦虑(Tension-Anxiety, TA)、愤怒-敌意(Anger-Hostility, AH)、抑郁-沮丧(Depression-Dejection, DD)、疲劳-迟钝(Fatigue-Inertia, FI)、迷惑-混乱(Confusion-Bewiderment, CB)、精力-活力(Vigor-Activity, VA)6个维度评分及总分显著低于对照组(t=4.788,5.745,3.663,5.651,6.065,4.169,9.382;P<0.001);干预后,研究组SOC-13问卷中可理解感、可控制感、意义感3个维度评分及总分显著高于对照组(t=5.401,4.743,5.369,7.311;P<0.001);干预后,研究组MLQ量表中生命意义体验、生命意义寻求2个维度评分及总分显著高于对照组(t=5.403,5.621,7.442;P<0.001)。结论:正念冥想与绘画减压法可改善急性缺血性脑卒中神经介入术患者围术期的心境状态,提高患者的心理一致感,帮助患者建立生命意义感。

Objective:To explore the effect of mindfulness meditation combined with painting decompression on mood state and life significance of patients with acute ischemic stroke undergoing neurointervention.Methods:From January 2019 to December 2020,104 cases of acute ischemic stroke requiring neurointervention were selected and randomly divided into study group(n=52)and control group(n=52).The control group was given routine intervention, and the experimental group was given mindfulness meditation and painting decompression on the basis of the control group.The scores of brief profile of mood state(BPOMS),sense of coherence-13(SOC-13)and meaning in life questionnaire(MLQ)were compared between the two groups at admission and 1 day before discharge.Results:After the intervention, the scores and total scores of tension anxiety(TA),anger hostility(ah),depression depression(DD),fatigue inertia(FI),confusion confusion confusion(CB)and vigor activity(VA)of BPOMS in the study group were significantly lower than those in the control group(t=4.788,5.745,3.663,5.651,6.065,4.169,9.382;P<0.001);After the intervention, the scores of three dimensions of SOC-13 in the study group were significantly higher than those in the control group(t=5.401,4.743,5.369,7.311;P<0.001);After the intervention, the scores of MLQ in the study group were significantly higher than those in the control group(t=5.403,5.621,7.442;P<0.001).Conclusion:Mmindfulness meditation and painting decompression method can improve the perioperative mood state of patients with acute ischemic stroke undergoing neurointervention, improve the psychological consistency of patients, and help patients establish a sense of life significance.