目的:探索网络正念减压疗法(MBSR)对严重精神障碍患者的照料者焦虑抑郁水平及生活质量的影响。方法:纳入2021年3月在云南省精神病医院封闭病房住院治疗的、诊断为精神分裂症或双相情感障碍患者的照料者93名作为研究对象,使用随机数字表...目的:探索网络正念减压疗法(MBSR)对严重精神障碍患者的照料者焦虑抑郁水平及生活质量的影响。方法:纳入2021年3月在云南省精神病医院封闭病房住院治疗的、诊断为精神分裂症或双相情感障碍患者的照料者93名作为研究对象,使用随机数字表法随机分为两组:对照组47名和MBSR干预组46名。对照组给予健康宣教、康复技能训练,干预组在健康宣教、康复技能训练的基础上给予8周基于网络的MBSR。分别于基线及8周后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、SF-36健康量表(The 36-item Short Form Health Survey)进行效果评价。结果:8周后,两组共脱落13名(对照组7名,干预组6名)。对照组与干预组基线SAS、SDS分值差异无统计学意义(均P>0.05)。8周后,干预组SAS、SDS分值较基线值均降低(均P<0.01),且明显低于对照组(均P<0.01),而对照组较基线值无明显变化(均P>0.05)。对照组与干预组基线SF-36总分及各个维度分值差异均无统计学意义(均P>0.05)。8周后,干预组SF-36总分及各个维度分值较基线时均升高,除生理功能维度外,差异均有统计学意义(均P<0.05),且明显高于对照组(均P<0.01);而对照组较基线时无明显变化(均P>0.05)。结论:网络MBSR可以减轻严重精神障碍患者照料者的焦虑抑郁水平,提高生活质量。展开更多
目的探讨正念减压联合音乐疗法对方舱医院患者负性情绪、睡眠质量及生活质量的影响。方法选取2022年4月1~10日吉林方舱医院收治的180例COVID-19病毒奥密克戎变异株感染者为研究对象。按照随机数字表法将患者分为试验组和对照组(n=90),...目的探讨正念减压联合音乐疗法对方舱医院患者负性情绪、睡眠质量及生活质量的影响。方法选取2022年4月1~10日吉林方舱医院收治的180例COVID-19病毒奥密克戎变异株感染者为研究对象。按照随机数字表法将患者分为试验组和对照组(n=90),将试验组患者安排于A病区,将对照组患者安排于B病区以避免沾染。对照组实施常规护理,试验组在常规护理基础上实施正念减压联合音乐疗法。2组均干预10 d,比较2组干预前后负性情绪[焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)]、睡眠质量[匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)]、生活质量[健康状况调查简表(the MOS 36 item short form health survey,SF-36)]及护理满意度。结果干预后,试验组SAS评分显著低于对照组(44.27±4.37 vs 49.52±4.83)(P<0.05),试验组SDS评分亦低于对照组(43.91±4.32 vs 48.34±4.78)(P<0.05)。试验组PSQI各维度评分及总分(5.72±1.04 vs 7.89±1.21)均低于对照组(P<0.05)。干预后,试验组SF-36各维度评分均高于对照组(P<0.05)。试验组总护理满意度高于对照组(95.56%vs 86.67%,P<0.05)。结论正念减压联合音乐疗法在抗击新冠疫情的特殊环境下是较好的心理干预方法,能显著改善方舱患者焦虑、抑郁情绪,改善患者睡眠质量,提升其生活质量。展开更多
Objective:Caregiver burden is used frequently within the nursing literature.It has not yet been clearly defined as there are different opinions regarding this concept.The purpose of this paper is to provide clarity su...Objective:Caregiver burden is used frequently within the nursing literature.It has not yet been clearly defined as there are different opinions regarding this concept.The purpose of this paper is to provide clarity surrounding the concept caregiver burden.Methods:An electronic search of MEDLINE,CINAHL,Health Source Nursing/Academic Edition and Academic Search Complete(ASC)of EBSCO,China National Knowledge Infrastructure(CNKI)and Google Scholar were searched with a limit of 10 years and published in the English or Chinese language.The paper adopted the framework by Walker and Avant.The attributes,antecedents,consequences and uses of the concept were identified.Results:At total of 33 articles were included.The three attributes of caregiver burden were identified as self-perception,multifaceted strain,and over time.The antecedents included insufficient financial resources,multiple responsibility conflict,lack of social activities.The consequences of caregiver burden resulted in negative change which included decreased care provision,decrease in quality of life,physical and psychological health deterioration.Conclusion:A definition of caregiver burden was developed.Tools to measure caregiver burden were identified.The findings from this analysis can be used in nursing practice,nursing education,research and administration.展开更多
文摘目的:探索网络正念减压疗法(MBSR)对严重精神障碍患者的照料者焦虑抑郁水平及生活质量的影响。方法:纳入2021年3月在云南省精神病医院封闭病房住院治疗的、诊断为精神分裂症或双相情感障碍患者的照料者93名作为研究对象,使用随机数字表法随机分为两组:对照组47名和MBSR干预组46名。对照组给予健康宣教、康复技能训练,干预组在健康宣教、康复技能训练的基础上给予8周基于网络的MBSR。分别于基线及8周后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、SF-36健康量表(The 36-item Short Form Health Survey)进行效果评价。结果:8周后,两组共脱落13名(对照组7名,干预组6名)。对照组与干预组基线SAS、SDS分值差异无统计学意义(均P>0.05)。8周后,干预组SAS、SDS分值较基线值均降低(均P<0.01),且明显低于对照组(均P<0.01),而对照组较基线值无明显变化(均P>0.05)。对照组与干预组基线SF-36总分及各个维度分值差异均无统计学意义(均P>0.05)。8周后,干预组SF-36总分及各个维度分值较基线时均升高,除生理功能维度外,差异均有统计学意义(均P<0.05),且明显高于对照组(均P<0.01);而对照组较基线时无明显变化(均P>0.05)。结论:网络MBSR可以减轻严重精神障碍患者照料者的焦虑抑郁水平,提高生活质量。
文摘目的探讨正念减压联合音乐疗法对方舱医院患者负性情绪、睡眠质量及生活质量的影响。方法选取2022年4月1~10日吉林方舱医院收治的180例COVID-19病毒奥密克戎变异株感染者为研究对象。按照随机数字表法将患者分为试验组和对照组(n=90),将试验组患者安排于A病区,将对照组患者安排于B病区以避免沾染。对照组实施常规护理,试验组在常规护理基础上实施正念减压联合音乐疗法。2组均干预10 d,比较2组干预前后负性情绪[焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)]、睡眠质量[匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)]、生活质量[健康状况调查简表(the MOS 36 item short form health survey,SF-36)]及护理满意度。结果干预后,试验组SAS评分显著低于对照组(44.27±4.37 vs 49.52±4.83)(P<0.05),试验组SDS评分亦低于对照组(43.91±4.32 vs 48.34±4.78)(P<0.05)。试验组PSQI各维度评分及总分(5.72±1.04 vs 7.89±1.21)均低于对照组(P<0.05)。干预后,试验组SF-36各维度评分均高于对照组(P<0.05)。试验组总护理满意度高于对照组(95.56%vs 86.67%,P<0.05)。结论正念减压联合音乐疗法在抗击新冠疫情的特殊环境下是较好的心理干预方法,能显著改善方舱患者焦虑、抑郁情绪,改善患者睡眠质量,提升其生活质量。
基金The authors acknowledge the support of the librarians at the Institute of Technology Tralee,Co.Kerry,Ireland.
文摘Objective:Caregiver burden is used frequently within the nursing literature.It has not yet been clearly defined as there are different opinions regarding this concept.The purpose of this paper is to provide clarity surrounding the concept caregiver burden.Methods:An electronic search of MEDLINE,CINAHL,Health Source Nursing/Academic Edition and Academic Search Complete(ASC)of EBSCO,China National Knowledge Infrastructure(CNKI)and Google Scholar were searched with a limit of 10 years and published in the English or Chinese language.The paper adopted the framework by Walker and Avant.The attributes,antecedents,consequences and uses of the concept were identified.Results:At total of 33 articles were included.The three attributes of caregiver burden were identified as self-perception,multifaceted strain,and over time.The antecedents included insufficient financial resources,multiple responsibility conflict,lack of social activities.The consequences of caregiver burden resulted in negative change which included decreased care provision,decrease in quality of life,physical and psychological health deterioration.Conclusion:A definition of caregiver burden was developed.Tools to measure caregiver burden were identified.The findings from this analysis can be used in nursing practice,nursing education,research and administration.
