正念减压疗法在强直性脊柱炎患者中的应用效果

Effectiveness of mindfulness based stress reduction in patients with ankylosing spondylitis

目的观察正念减压疗法在强直性脊柱炎患者中的应用效果。方法选取2018年6月—2020年7月在本院治疗的116例强直性脊柱炎患者为研究对象,采用随机数字表法将其分为对照组和观察组,每组各58例。对照组实施常规护理措施,观察组在常规护理的基础上增加正念减压疗法,每周进行1次,每次60 min,共持续8周。观察两组患者的躯体功能、生活质量及心理韧性评分水平的变化。结果干预前,两组患者的心理韧性水平、关节功能评分、疼痛程度评分、脊柱僵硬时间、脊柱活动度及生活质量评分对比,差异无统计学意义(P>0.05);干预后,两组患者的心理韧性水平、Schober试验结果、胸廓活动度及生活质量评分均较干预前改善(P<0.05),而关节功能评分、疼痛评分较干预前下降(P<0.05),脊柱僵硬时间、枕墙距、指地距较干预前减少(P<0.05),且观察组优于对照组,差异具有统计学意义(P<0.05)。结论对强直性脊柱炎患者采用正念减压疗法进行干预,能帮助患者提升心理韧性水平、躯体功能以及生活质量,有效改善患者的关节功能,减轻疼痛,缩短脊柱僵硬时间、枕墙距和指地距的距离,改善Schober试验结果及胸廓活动度,并具有较高的安全性。

Objective To observe the effect of mindfulness based stress reduction in patients with ankylosing spondylitis.Methods One hundred and sixteen patients with ankylosing spondylitis treated in our hospital from June 2018 to July 2020 were selected for the study,and they were divided into a control group and an observation group using the random number table method,with 58 cases in each group.The control group implemented conventional nursing measures,and the observation group added mindfulness based stress reduction on the basis of conventional nursing,which was performed once a week for 60 min each time for 8 weeks.The changes in somatic function,quality of life and mental toughness score levels of patients in both groups were observed.Results Before the intervention,there were no statistically significant difference in the mental toughness level,joint function score,pain level score,spinal stiffness time,spinal mobility and quality of life score between the two groups(P>0.05);after the intervention,the mental toughness level,Schober test results,thoracic mobility level and quality of life score of the two groups increased compared with those before the intervention(P<0.05),while joint function scores and pain scores decreased compared with those before intervention(P<0.05),and spinal stiffness time,occipital wall distance,and finger ground distance decreased compared with those before intervention(P<0.05),and the observation group was better than the control group,and the difference was statistically significant(P<0.05).Conclusion After the nursing intervention of MBSR for AS patients,it can help patients to improve the degree of mental toughness,the level of somatic function and the quality of life,effectively improve the level of joint function,reduce pain,shorten the time of spinal stiffness,the distance of occipital wall distance and finger ground distance,improve the Schober test results and thoracic mobility,and have a high safety.