正念干预对脑卒中患者照顾者照顾负担和生活质量的影响

The effect of mindfulness intervention for the caregiver burden and quality of life of caregiver on stroke patients

目的:探讨正念干预措施对脑卒中患者照顾者照顾负担、心理韧性及生活质量的影响。方法:将符合纳入标准的147名脑卒中照顾者采用随机数字表法分为观察组和对照组。两组患者均给予常规心理护理和健康宣教,观察组在此基础上接受3个阶段的正念干预。在正念训练前、正念训练8周后及干预后3mon,采用照顾负担量表(ZBI)、生活质量量表(SF-36)和心理弹性量表(CD-RISC)对干预效果进行评定。结果:正念干预后,照顾者的个人负担和责任负担得分低于干预前,差异具有统计学意义(P<0.05);正念干预后,照顾者的生活质量中生理健康得分(PCS)和心理健康得分(MCS)明显升高,差异均有统计学意义(P<0.05);正念干预后,照顾者心理韧性中坚韧性、力量性和乐观性明显升高,差异均有统计学意义(P<0.05)。结论:正念干预可有效降低脑卒中患者照顾者的照顾负担、提高脑卒中患者照顾者的生活质量和心理韧性。该结论为照顾者照顾负担、生活质量和正性心理干预措施提供了参考依据。

Objective:To explore the effects of mindfulness-based intervention on burden of care,mental toughness and quality of life for caregivers of stroke patients.Methods:147 caregivers of stroke patients who met the inclusion criteria were divided into observation group and control group by random number table method.Both groups were given routine intervention,and the observation group received mindfulness intervention to carry out three-stage on this basis.8 weeks and 3 months after intervention were used to evaluate the efficacy of mindfulness intervention at baseline,and the burden of care,quality of life and mental toughness of caregivers were compared in before intervention,8 weeks and 3 months after intervention.Results:The scores of personal burden and responsibility burden of caregivers after mindfulness-based intervention were lower than before intervention,and the difference was statistically significant(P <0.05).PMC and MCS were significantly increased in the carers’ quality of life after mindfulness intervention,with statistically significant differences(P<0.05).After mindfulness-based intervention,the mental toughness,strength and optimism of caregivers were significantly increased,with statistically significant differences(P <0.05).Conclusion:Mindfulness-based intervention can effectively reduce the burden of care for caregivers of stroke patients,improve the quality of life and mental toughness of caregivers of stroke patients,and provide a reference intervention measures for the burden of care,quality of life and the psychometric properties of caregivers.