正念训练应用于宫颈机能不全患者心理干预中的效果观察

The effect of mindfulness training on psychological intervention in patients with cervical insufficiency

目的探讨正念训练应用于宫颈机能不全患者心理干预中的效果。方法本研究选取2018年9月—2021年1月河南省某医院收治的109例孕期宫颈机能不全行择期宫颈环扎术患者为研究对象。采用随机数字表法将患者分为对照组(n=54)和观察组(n=55)。对照组患者予以常规心理干预。观察组患者在对照组护理基础上进行正念训练。比较2组患者干预前及干预后(出院时)自我效能感量表(GSES)、希望量表(ADHS)、沃里克-爱丁堡积极心理健康量表(WEMWBS)、正负性情感量表(PANAS)及应对方式调查问卷(MCMQ)评分。结果干预前,2组患者GSES、ADHS、WEMWBS、PANAS-P、PANAS-N及MCMQ中回避、面对、屈服维度评分比较,差异无统计学意义(P>0.05)。干预后,2组患者GSES、ADHS、WEMWBS、PANAS-P及MCMQ中面对维度评分均高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。同时,干预后,2组患者PANAS-N及MCMQ中回避、屈服维度评分均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。结论正念训练应用于行宫颈环扎术的宫颈机能不全患者心理干预中,可增强患者自我效能感,提高患者心理健康水平,改善患者应对方式,效果显著,值得推广应用。

Objective To explore the effect of mindfulness training on psychological intervention in patients with cervical insufficiency.Methods A total of 109 patients receiving elective cervical cerclage for cervical insufficiency during pregnancy admitted to a hospital in Henan Province from September 2018 to January 2021 were selected as subjects.They were assigned to a control group(n=54)and an observation group(n=55)using the random number table method.Patients in the control group received conventional psychological interventions.Patients in the observation group received mindfulness training in addition to the conventional psychological interventions.The General Self Efficacy Scale(GSES)scores at pre-intervention and post-intervention(at discharge),Adult Dispositional Hope Scale(ADHS),Warwick-Edinburgh Mental Wellbeing Scale(WEMWBS),Positive and Negative Affect Schedule(PANAS)and Medical Coping Modes Questionnaire(MCMQ)scores were compared between the two groups.Results Before the intervention,there was no statistically significant difference in the scores of avoidance,coping and submission dimensions in GSES,ADHS,WEMWBS,PANAS-P,PANASN and MCMQ between the 2 groups of patients(P>0.05).After the intervention,the scores of GSES,ADHS,WEMWBS,PANAS-P and MCMQ in the coping dimension were higher in the 2 groups than before the intervention,with the observation group higher than the control group,and the differences were statistically significant(P<0.05).Meanwhile,the scores of PANAS-N and MCMQ in the avoidance and submission dimensions were lower than those before the intervention in both groups,with the observation group lower than the control group,and the differences were statistically significant(P<0.05).Conclusion The use of mindfulness training on psychological interventions in patients with cervical insufficiency undergoing cervical cerclage can enhance patients’self-efficacy,improve their mental health and coping modes,demonstrating marked effects.These benefits justify a wider application of this training.