正念减压训练对肺结核患者焦虑抑郁情绪的影响

Impacts of mindfulness-based stress reduction training on anxiety and depression of patients with pulmonary tuberculosis

目的探讨正念减压训练对肺结核患者焦虑抑郁情绪调节的作用。方法选取2020年1—6月浙江省湖州市中心医院收治的肺结核患者作为研究对象,随机抽取100例,设立试验组(50例),对照组(50例)。对试验组采用正念减压训练,对照组采用普通心理疏导。评价两组入院时、出院时、出院后1个月末的焦虑抑郁情绪状况。结果组内比较,对照组与试验组在3个观测点焦虑、抑郁评分,差异有统计学意义(F_(对照焦虑)=15.256,F_(对照抑郁)=22.220,F_(试验焦虑)=62.206,F_(试验抑郁)=74.092,P<0.001)。出院时与出院1月末比较,对照组焦虑、抑郁情绪评分,差异无统计学意义(P_(焦虑评分)=0.769,P_(抑郁评分)=0.999);试验组,焦虑、抑郁情绪评分,差异有统计学意义(P_(焦虑评分)<0.001,P_(抑郁评分)<0.001)。组间比较,出院时两组焦虑评分,差异无统计学意义(P>0.05)。出院后1个月末两组焦虑评分,差异有统计学意义(P<0.001)。出院时两组抑郁评分差异有统计学意义(P<0.05)。出院后1个月末两组抑郁评分差异有统计学意义(P<0.001)。结论正念减压训练在能改善肺结核患者焦虑抑郁情绪,且优于普通心理疏导,尤其对院外自我情绪调节具有重要意义。

Objective To investigate the role of mindfulness-based stress reduction training in regulating anxiety and depression of patients with pulmonary tuberculosis.Methods A total of 100 patients with pulmonary tuberculosis admitted to and treated in Huzhou Central Hospital in Zhejiang Province from January to June 2020 were randomly selected as research objects.And they were divided into the experimental group(n=50)and the control group(n=50).The experimental group was treated with mindfulness-based stress reduction training,while the control group was treated with conventional psychological counseling.The anxiety and depression of the two groups were evaluated at admission,at discharge and 1 month after discharge.Results Within the group,there were statistically significant differences in all scores of anxiety and depression at three observation points between the control group and the experimental group(Fanxiety of the control group=15.256,Fdepression of the control group=22.220,Fanxiety of the experimental group=62.206,Fdepression of the experimental group=74.092,P<0.001).Compared with 1 month after discharge from the hospital,there were no statistically significant differences in the scores of anxiety and depression at discharge in the control group(Panxiety score=0.769,Pdepression score=0.999).While there were statistically significant differences in the scores of anxiety and depression in the experimental group(Panxiety score<0.001,Pdepression score<0.001).Between the groups,there was no statistically significant difference in the anxiety scores between the two groups at discharge(P>0.05).While 1 month after discharge,the anxiety scores of the two groups were P<0.001,with statistically significant differences.At discharge,the depression scores of the two groups were(P<0.05),with statistically significant differences.And 1 month after discharge,the depression scores of the two groups were P<0.001,with statistically significant differences.Conclusion Mindfulness-based stress reduction training can improve the anxiety and depression of tuberculosis patients,and is superior to conventional psychological counseling,especially for self-emotion regulation after discharge from the hospital.