正念减压法对外科手术患者心理应激反应及睡眠质量的影响

Effect of mindfulness-based stress reduction on psychological stress response and sleep quality of surgical patients

目的探讨正念减压法对外科手术患者心理应激反应及睡眠质量的影响。方法将82例行外科手术的患者按照随机数字表法分为研究组与对照组,各41例。两组均给予常规护理干预,研究组在此基础上给予正念减压法干预。干预前后采用视觉模拟评分法评定两组疼痛程度,焦虑自评量表及抑郁自评量表评定两组心理状况,匹兹堡睡眠质量指数评定两组睡眠质量,健康调查简表评定两组生活质量。结果干预后两组视觉模拟评分法、焦虑自评量表、抑郁自评量表及匹兹堡睡眠质量指数评分均显著低于干预前(P<0.01),研究组显著低于对照组(P<0.01)。干预后两组健康调查简表心理健康、躯体功能、活动精力、情感职能维度及总体健康评分均显著高于干预前(P<0.01),研究组显著高于对照组(P<0.01)。结论正念减压法可以缓解外科手术患者术后疼痛程度,改善心理应激反应,提高睡眠质量及生活质量。

Objective To explore the effect of mindfulness-based stress reduction on psychological stress response and sleep quality of surgical patients.Methods A total of 82 patients who underwent surgery were divided into study group and control group according to random number table method,with 41 cases in each group.Both groups were given routine nursing intervention,and the study group was given mindfulness-based stress reduction intervention on this basis.Before and after the intervention,the visual analogue scale(VAS)was used to evaluate the pain level of the two groups,the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to evaluate the psychological status of the two groups,the Pittsburgh sleep quality index(PSQI)was used to evaluate the sleep quality of the two groups,and the MOS item short from health survey(SF-36)was used to evaluate the quality of life of the two groups.Results After the intervention,the VAS,SAS,SDS and PSQI scores of the two groups were significantly lower than those before the intervention(P<0.01),and the study group was significantly lower than the control group(P<0.01).After the intervention,the dimensions of mental health,physical function,activity energy,emotional function and overall health scores of SF-36 in the two groups were significantly higher than those before the intervention(P<0.01),the study group was significantly higher than the control group(P<0.01).Conclusions Mindfulness-based stress reduction can relieve the pain of surgical patients,improve their psychological stress and sleep quality,and thus improve their quality of life.