正念训练联合情志干预对急性脑梗死患者愤怒及应对方式的影响

Effect of mindfulness training combined with emotional intervention on anger and coping style of patients with acute cerebral infarction

目的:研究正念训练联合情志干预对急性脑梗死患者愤怒及应对方式的影响。方法:选取我院2014年9月-2016年9月150例急性脑梗死患者为研究对象,将纳入患者按随机数表法分为观察组与对照组,每组75例。所有患者均给予呼吸支持、调节血糖、控制血压、溶栓治疗、抗血小板聚集、缓解脑水肿、降低颅内压、营养支持等常规治疗。对照组在常规治疗基础上给予情志干预,观察组在常规治疗基础上给予正念训练联合情志干预,均持续8周。比较两组干预前与干预8周后正念、内心平静、愤怒评分及应对方式,评估患者神经功能、肢体运动能力与日常生活活动能力。结果:观察组干预8周后愤怒评分、神经功能缺损评分显著低于对照组(t=-2.975,-3.574;P<0.01)。观察组干预8周后面对评分显著高于对照组(t=2.584,P<0.05),回避评分、屈服评分分别显著低于对照组(t=-2.896,-3.527;P<0.01)。结论:正念训练联合情志干预可以使急性脑梗死患者心理状态趋于平和安宁,避免愤怒等极端情绪,倾向于采用面对等积极应对方式,有利于神经功能恢复。

Objective:To study the effect of mindfulness training combined with emotional intervention on anger and coping style of patients with acute cerebral infarction(ACI).Methods:A total of 150 patients with ACI who were admitted to our hospital from September 2014 to September 2016 were selected as subjects,and they were divided into the observation group and the control group by the random number table method,75 cases in each group.All patients were given conventional treatment.On the basis,the control group were given emotional intervention while the observation group were given mindfulness training combined with emotional intervention,and the intervention for two groups lasted for 8 weeks.Scores of mindfulness,heartsease and anger and coping style were compared between the two groups before the intervention and after 8 weeks of intervention.The neurological function,limb exercise capacity and activities of daily living were evaluated.Results:After 8 weeks of intervention,scores of anger and neurological deficits in the observation group were significantly lower than those in the control group(t=2.975,3.574,P<0.01).After 8 weeks of intervention,the scores of facing in the observation group was significantly higher than that of the control group(t=2.584,P<0.05),while scores of avoidance and yielding were significantly lower than those in the control group(t=-2.896,-3.527;P<0.01).Conclusion:Mindfulness training combined with emotional intervention can make the mental state of patients with ACI tend to be calm and tranquil,avoid extreme emotions like anger and make patients adopt positive coping styles,which is conducive to the recovery of neurological function.