正念减压疗法对稳定期慢性阻塞性肺疾病病人自我效能、正念水平和生活质量的影响

Effect of mindfulness-based stress reduction therapy on the self-efficacy,mindfulness level and quality of life in patients with stable chronic obstructive pulmonary disease

目的:探讨正念减压疗法在稳定期慢性阻塞性肺疾病病人中的应用效果。方法:采用随机数字表法将稳定期慢性阻塞性肺疾病病人94例分为观察组(正念减压疗法)和对照组(常规疗法),各47例。2组均连续干预3个月。比较2组干预前后的肺功能、6 min步行距离(6MWD)、自我效能、正念水平、生活质量和干预后的满意度。结果:干预3个月后,观察组PEF、FVC、FEV1%、6MWD水平明显高于对照组(P<0.05);观察组自我效能量表各维度评分均明显高于对照组(P<0.01),且2组干预后自我效能均高于干预前(P<0.05~P<0.01);观察组自我效能量表各维度评分均明显高于对照组(P<0.01),且2组干预后自我效能均高于干预前(P<0.05~P<0.01);观察组WHO-QOL-BREF各项评分以及总分均高于对照组(P<0.01),且2组干预后各项评分及总分均明显高于干预前(P<0.01)。结论:正念减压疗法应用于稳定期慢性阻塞性肺疾病病人中可有效提高肺功能,改善正念水平及运动能力,提升病人自我效能,提高生活质量,病人满意度较高。

Objective:To investigate the effects of mindfulness-based stress reduction therapy in patients with stable chronic obstructive pulmonary disease.Methods:Ninety-four patients with stable chronic obstructive pulmonary disease were divided into the observation group(mindfulness-based stress reduction therapy)and control group(conventional therapy)by random number table method(47 cases in each group).Two groups were treated continuously for 3 months.The lung function,6-min walking distance(6MWD),self-efficacy,mindfulness level and quality of life before and after intervention,and satisfaction after intervention were compared between two groups.Results:After 3 months of intervention,the levels of PEF,FVC,FEV1%,and 6MWD in the observation group were significantly higher than those in control group(P<0.05).The scores of all dimensions of self-efficacy in the observation group were significantly higher than those of control group(P<0.01),and the self-efficacy in two groups after intervention was higher than before intervention(P<0.05 to P<0.01).After the intervention,the WHO-QOL-BRAF scores and total scores in the observation group were higher than those in control group(P<0.01),and the scores and total scores in two groups were significantly higher than before intervention(P<0.01).Conclusions:The application of mindfulness-based stress reduction therapy in patients with stable chronic obstructive pulmonary disease can effectively improve the lung function and mindfulness level and exercise ability,enhance patients′self-efficacy,improve quality of life and patients′satisfaction.