正念减压疗法对更年期女性负性情绪和生活质量的影响研究

Study on Effect of Mindfulness-Based Stress Reduction Therapy on Negative Emotions and Quality of Life in Climacteric Women

目的:观察正念减压疗法(MBSR)对更年期女性负性情绪和生活质量的影响。方法:选取2020年2月-2022年1月在梅州市第三人民医院和广州市民政局精神病院门诊接受治疗的100例存在负性情绪的女性更年期患者作为研究对象,随机分为研究组和对照组,各50例。两组均采用1种五羟色胺再摄取抑制剂类药物或血清素和去甲肾上腺素再摄取抑制剂类药物进行治疗,研究组在上述治疗基础上给予6个月的MBSR治疗。对比两组患者干预前后汉密尔顿抑郁量表(HAMD)、焦虑自评量表(SAS)评分及生活质量。结果:干预前,两组SAS和HAMD评分比较,差异无统计学意义(P>0.05);干预后,两组SAS和HAMD评分均低于干预前,且研究组低于对照组,差异有统计学意义(P<0.05)。干预前,两组生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能及精神健康评分比较,差异无统计学意义(P>0.05);干预后,两组生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能及精神健康评分均高于干预前,且研究组高于对照组,差异具有统计学意义(P<0.05)。结论:MBSR联合药物治疗女性更年期患者,可提升患者自我调节能力,从而缓解心理压力,减轻躯体不适,提升生活质量。

Objective: To observe the effect of mindfulness-based stress reduction(MBSR) on negative emotions and quality of life in climacteric women. Methods: From February 2020 to January 2022, 100 female menopausal patients with negative emotions who were treated in the Outpatient Department of the Meizhou Third People’s Hospital and the Psychiatric Hospital of Guangzhou Civil Affairs Bureau were selected as the study subjects, and they were randomly divided into study group and control group, with 50 cases in each group. Both groups received the treatment using selective serotonin reuptake inhibitor or serotonin and norepinephrine reuptake inhibitor. The study group was given MBSR for 6 months on the basis of the above treatment. The Hamilton Depression Scale(HAMD), Self-rating Anxiety Scale(SAS) scores and quality of life were compared between the two groups before and after the intervention. Results: Before the intervention, there was no significant difference in SAS and HAMD scores between the two groups(P>0.05). After the intervention, SAS and HAMD scores in two groups were lower than those before the intervention, and the study group was lower than the control group, with a statistically significant difference(P<0.05). Before the intervention, there were no significant differences in physiological function, physiological functioning, physical pain, overall health, vitality, social function, emotional functioning and mental health scores between the two groups(P>0.05). After the intervention, the scores of physiological function, physiological functioning, physical pain, overall health, vitality, social function,emotional functioning, and mental health in the two groups were higher than those before the intervention, and the study group was higher than the control group, and the difference was statistically significant(P<0.05). Conclusion: MBSR combined with drug therapy in female menopausal patients can improve the self-regulation ability of patients, accordingly alleviate the psychological pressure, relieve physical discomfort, and improve the quality of life.