舰艇部队人员慢性疼痛的正念减压干预试验

A intervention trial of effects of mindfulness-based stress reduction on chronic pain in naval personnel

目的:探讨正念减压干预(MBSR)对某舰艇部队慢性疼痛人群疼痛、焦虑抑郁情绪以及生活质量的效果。方法:招募某舰艇部队慢性疼痛人员72例,将其随机分为MBSR组和常规干预组。常规干预组只接受常规管理,MBSR组在此基础上进行MBSR。采用麦吉尔疼痛量表简化版(SF-MPQ)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、简明健康状况调查表(SF-36)进行基线及8周干预后测评。结果:MBSR组SF-MPQ的3个部分得分、SAS、SDS得分及SF-36各维度得分的基线与8周干预后差值均高于常规干预组(均P<0.05)。结论:正念减压干预能减轻舰艇部队慢性疼痛人群疼痛感受程度,缓解其焦虑、抑郁情绪,提高生活质量。

Objective:To explore the effects of mindfulness-based stress reduction(MBSR)on pain relief,anxiety and depression and quality of life in naval personnel with chronic pain.Methods:A total of 72 naval personnel with chronic pain were randomly divided into MBSR group and routine intervention group.The routine intervention group received routine care,while the MBSR group received MBSR in addition to routine care.The Short-Form McGill Pain Questionnaire(SF-MPQ),Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),and 36-item Short Form Health Survey Scale(SF-36)were used at baseline and after 8 weeks of intervention.Results:The differences in the scores of 3 subjects of SF-MPQ,SAS,SDS and SF-36 in MBSR group at baseline and 8 weeks after intervention were higher than those in routine intervention group(Ps<0.05).Conclusion:It suggests that mindfulnecs-based stress reduction could alleviate the degree of pain,anxiety and depression of patients with chronic pain in naval personnel and improve their quality of life.