正念减压疗法对胃食管反流病患者焦虑、抑郁的影响

Effects of mindfulness-based stress reduction therapy on anxiety and depression in patients with gastro-esophageal reflux disease

目的探讨正念减压疗法对胃食管反流病患者焦虑、抑郁情绪的影响。方法本研究对象为2020年8月~2022年1月80例胃食管反流病患者,数字表法随机分为两组,对照组患者采用常规护理,观察组在对照组基础上采用正念减压疗法。评估两组护理前后抑郁自评量表(SDS)、焦虑自评量表(SAS)、胃食管反流病问卷(GERDQ)、胃食管反流病健康相关生存质量量表(GERDHRQL)。结果两组护理后SDS评分、SAS评分较护理前均显著降低,且护理后观察组显著低于对照组(P<0.05);两组护理后GERDQ评分显著降低,GERD-HRQL评分显著升高,且干预后观察组GERDQ评分低于对照组,GERD-HRQL评分高于对照组(P<0.05)。结论正念减压疗法能显著改善胃食管反流病患者焦虑、抑郁情绪,并对胃食管反流症状的缓解起到辅助作用,提升相关生活质量。

Objective To explore the effect of mindfulness-based stress reduction therapy on anxiety and depression in patients with gastroesophageal reflux disease.Methods Eighty patients with gastroesophageal reflux disease from August 2020 to January 2022 were selected as the study subjects.They were randomly divided into two groups according the number table method.The patients in the control group received routine nursing care,while the patients in the observation group received mindfulness-based stress reduction therapy on the basis of the control group.The self-rating depression scale(SDS),self-rating anxiety scale(SAS),gastroesophageal reflux disease questionnaire(CERDQ)and gastroesophageal reflux disease health-related quality of life scale(GERD-HRQL)were evaluated in the two groups before and after nursing.Results The SDS and SAS scores of the two groups after nursing were significantly lower than those before nursing,and the observation group after nursing was significantly lower than the control group(P<0.05).After nursing,the GERDQ scores of the two groups were significantly decreased,while the CERDHRQL scores were significantly increased.After the intervention,the CERDQ scores of the observation group were lower than those of the control group,and the GERD-HRQL scores of the observation group were higher than those of the control group(P<0.05).Conclusion Mindfulness-based decompression therapy can significantly improve anxiety and depression in patients with gastroesophageal reflux disease,play an auxiliary role in relieving gastroesophageal reflux symptoms,and improve related quality of life.