Clinical effects of nonconvulsive electrotherapy combined with mindfulness-based stress reduction and changes of serum inflammatory factors in depression

BACKGROUND Depression is a common and serious psychological condition,which seriously affects individual well-being and functional ability.Traditional treatment methods include drug therapy and psychological counseling;however,these methods have different degrees of side effects and limitations.In recent years,nonconvulsive electrotherapy(NET)has attracted increasing attention as a noninvasive treatment method.However,the clinical efficacy and potential mechanism of NET on depression are still unclear.We hypothesized that NET has a positive clinical effect in the treatment of depression,and may have a regulatory effect on serum inflammatory factors during treatment.AIM To assess the effects of NET on depression and analyze changes in serum inflammatory factors.METHODS This retrospective study enrolled 140 patients undergoing treatment for depression between May 2017 and June 2022,the observation group that received a combination of mindfulness-based stress reduction(MBSR)and NET treatment(n=70)and the control group that only received MBSR therapy(n=70).The clinical effectiveness of the treatment was evaluated by assessing various factors,including the Hamilton Depression Scale(HAMD)-17,self-rating idea of suicide scale(SSIOS),Pittsburgh Sleep Quality Index(PSQI),and levels of serum inflammatory factors before and after 8 wk of treatment.The quality of life scores between the two groups were compared.Comparisons were made using t and χ^(2) tests.RESULTS After 8 wk of treatment,the observation group exhibited a 91.43%overall effectiveness rate which was higher than that of the control group which was 74.29%(64 vs 52,χ^(2)=7.241;P<0.05).The HAMD,SSIOS,and PSQI scores showed a significant decrease in both groups.Moreover,the observation group had lower scores than the control group(10.37±2.04 vs 14.02±2.16,t=10.280;1.67±0.28 vs 0.87±0.12,t=21.970;5.29±1.33 vs 7.94±1.35,t=11.700;P both<0.001).Additionally,there was a notable decrease in the IL-2,IL-1β,and IL-6 in both groups after treatment.Furthermore,the observation group exhibited superior serum inflammatory factors compared to the control group(70.12±10.32 vs 102.24±20.21,t=11.840;19.35±2.46 vs 22.27±2.13,t=7.508;32.25±4.6 vs 39.42±4.23,t=9.565;P both<0.001).Moreover,the observation group exhibited significantly improved quality of life scores compared to the control group(Social function:19.25±2.76 vs 16.23±2.34;Emotions:18.54±2.83 vs 12.28±2.16;Environment:18.49±2.48 vs 16.56±3.44;Physical health:19.53±2.39 vs 16.62±3.46;P both<0.001)after treatment.CONCLUSION MBSR combined with NET effectively alleviates depression,lowers inflammation(IL-2,IL-1β,and IL-6),reduces suicidal thoughts,enhances sleep,and improves the quality of life of individuals with depression.

Influence of standardized nursing intervention combined with mindfulness stress reduction training on the curative effect in patients with acute pancreatitis

BACKGROUND Acute pancreatitis(AP)is a common inflammatory disease of the pancreas with high mortality rates.It is of great significance to take scientific intervention measures for patients with AP in time.AIM To explore the effect of standardized nursing combined with mindfulness stress reduction training on the curative effect,negative emotion,and quality of life in patients with acute pancreatitis.METHODS A total of 80 patients with acute pancreatitis admitted to The First People's Hospital of Jiangxia District Hospital from May 2021 to May 2023 were randomly divided into control group and observation group(n=40).Patients in control group were given the standardized nursing intervention,and the observation group were given standardized nursing plus mindfulness stress reduction training intervention.The time of clinical symptom disappeared or improved,complication occurrence rate,emotional state,and quality of life score of the two groups were observed and compared.RESULTS In comparison with the control group,the bowel sound recovery time,ventosity and abdominal pain improvement time,and venting and cacation time in observation group were shorter,and the total incidence rate of complications was reduced,showing statistically significant difference(P<0.05).The scores of anxiety and depression in observation group were lower than those in control group(P<0.05).Serum levels of tumour necrosis factor alpha,interleukin(IL)-6,IL-1βand IL-8 in observation group were lower than those in control group(P<0.05).The scores of life quality in physiology,psychology,environment and social relations in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).CONCLUSION The application of standardized nursing intervention combined with mindfulness stress reduction training in patients with acute pancreatitis has a definite effect,which can help to ameliorate the clinical symptoms,anxiety and depression of patients,reduce the incidence rate of complications,and improve the prognosis of patients.

Effects of mindfulness-based stress reduction therapy on anxiety and depression in patients with maintenance hemodialysis:a meta analysis

Objective:This study aimed to evaluate the effects of mindfulness-based stress reduction therapy on anxiety and depression in patients with maintenance hemodialysis.Methods:CNKI,VIP,WanFang,CBM,Embase,the Cochrane Library and PubMed databases were retrieved.Randomized controlled trials of intervention effects of mindfulness-based stress reduction combined with conventional hemodialysis education compared with conventional hemodialysis education on maintenance hemodialysis patients were collected.The retrieval period was from the establishment of the database to December 2019.Two researchers independently screened the literatures,extracted the data and evaluated the risk of bias in the included studies.RevMan 5.3 software was used for analysis.Results:A total of 9 studies,which comprised a total of 664 participants were included in the final meta analysis.The results showed that mindfulness-based stress reduction could reduce the anxiety of patients(SMD=?1.65,95%CI:?2.29 to?1.01),reduce the depression(SMD=?1.44,95%CI:?1.85 to?1.03).Conclusion:Mindfulness-based stress reduction therapy has positive effects on depression,anxiety in patients with maintenance hemodialysis.

Intervention effect of mindfulness-based stress reduction for psychological health among nurses:A meta-analysis

Objective:To systematically evaluate the effects of MBSR on psychological health intervention in nurses.Methods:The randomized controlled trial(RCT)and self-controlled trial(SC)investigating the application of mindfulness-based stress reduction in nursing staff were retrieved from CNKI,WanFang,VIP,PubMed,Cochrane Library,Web of Science,EMBASE databases.The retrieval time was set from the establishment of the database to April 2020.The Review Manager 5.3 software were used for meta-analysis.Result:9 RCTs and 5 self-control trails were included with 1421,712 subjects in the experimental group and 709 subjects in the control group.The results of the meta-analysis showed that compared with the control group,mindfulness-based stress reduction therapy can effectively reduce the psychological symptoms of clinical nurses[SMD=-0.96,95%CI(-1.51,-0.38),P=0.001],reduces nurses'anxiety levels[SMD=-1.28,95%CI(-2.18,-0.38),P=0.005],relieve the nurse's depression[SMD=-1.08,95%CI(-2.15,-0.02),P=0.005],improve the mental resilience of nurse[SMD=7.05,95%CI(3.93,10.17),P=0.03],showing a statistical meaning.Conclusion:The mental health of nurses is often neglected by themselves and there is insufficient awareness that MBSR can improve mental health.There has been a debate about whether MBSR actually improves the mental health of nurses,so it is necessary to further explore this issue and seek better methods and opportunities for practice.

Research Findings Using Mindfulness-Based Interventions for Chronic Pain

Chronic pain is a complex condition that is very detrimental to physical and psychological wellbeing. It carries a significant level of disability and economic burden. Pain patients frequently experience comorbid mental illness (e.g. depression, anxiety, PTSD, insomnia) and often require psychotherapeutic interventions in addition to medication management. Mindfulness-based interventions (MBIs) have emerged as a means to treat several chronic conditions (e.g. chronic pain, depression, anxiety, substance abuse, stress, insomnia). The objective of this review is to evaluate the current research on the use of MBIs in chronic pain managment. Although there are several controlled trials on the use of MBIs in chronic pain management, only a few studies were found that demonstrated significant effects on pain intensity, quality of life, as well as physical and psychological functioning. Therefore, the current evidence is mixed and there are insufficient data to definitively confirm the full impact of the use of MBIs in chronic pain conditions such as fibromyalgia, chronic low back pain, rheumatoid arthritis, and chronic musculoskeletal pain. The lack of compelling evidence at this time signals a demand for higher quality investigations in this area. Research examining MBIs and concomitant CBT may be of great value in order to synergize and strengthen patient outcomes.

Mindfulness-based cognitive therapy in the intervention of psychiatric disorders: A review

Mindfulness-based cognitive therapy(MBCT)is frequently used for psychiatric disorders.Despite MBCT’s considerable potential for improving psychological health for patients,there is little empirical evidence to support its practical application in Chinese.This review will define meditation and mindfulness,provide an overview of the development of MBCT,identify the evidence for the effectiveness of MBCT,and offer recommendations to medical personnels on how to provide support for patients receiving mindfulness intervention.

正念减压训练结合纽曼系统干预在肝癌手术患者中的应用

目的 探讨正念减压训练结合纽曼系统干预在肝癌手术患者中的应用效果。方法 将135例肝癌手术患者按随机数字表法分为观察组、对照A组、对照B组,每组45例。对照A组采取正念减压训练,对照B组采取纽曼系统干预,观察组采取正念减压训练结合纽曼系统干预。比较3组患者术后康复情况、心理状态[简式简明心境问卷(POMS-SF)]、创伤后应激障碍[创伤后应激障碍自评量表(PCL-C)]及术后寒战发生情况。结果 观察组患者术后首次排气时间、首次排便时间、首次进食时间、首次下床时间及术后住院时间均短于对照A组、对照B组,差异均有统计学意义(P﹤0.05)。干预后,观察组、对照A组患者POMS-SF量表各维度评分均较干预前降低,且观察组患者POMS-SF量表各维度评分均低于对照A组、对照B组,对照A组患者POMS-SF量表各维度评分均低于对照B组,差异均有统计学意义(P﹤0.05)。干预后,3组患者PCL-C量表各维度评分均较干预前降低,且观察组患者PCL-C量表各维度评分均低于对照A组、对照B组,差异均有统计学意义(P﹤0.05)。观察组、对照B组患者术后寒战发生率均低于对照A组,差异均有统计学意义(P﹤0.05)。结论 正念减压训练结合纽曼系统干预有助于调节肝癌手术患者的心理状态,减轻创伤后应激障碍,减少术后寒战,促进术后早期康复。

认知性心理护理联合正念减压训练对抑郁症患者睡眠质量及心理状态的影响

目的:探究认知性心理护理联合正念减压训练对抑郁症患者睡眠质量及心理状态的改善作用。方法:选取2022年2月至2023年4月福建省泉州市第三医院精神科收治的抑郁症患者86例作为研究对象,按照随机数字表法分为对照组和观察组,每组43例。对照组接受常规护理,观察组接受认知性心理护理联合正念减压训练。比较2组患者睡眠质量、心理状态的改善情况。结果:护理后,观察组PSQI评分低于对照组(P<0.05),观察组HAMA、HAMD量表评分均低于对照组(均P<0.05),观察组CD-RISC评分中乐观、自强、坚韧评分均高于对照组(均P<0.05)。结论:对抑郁症患者开展认知性心理护理联合正念减压训练,可以改善患者睡眠质量,减少负面情绪,改善患者心理状态。

肌肉放松训练联合正念减压疗法在肝门部胆管癌根治性切除术患者围手术期的应用

目的探究肝门部胆管癌(HCCA)患者根治性切除术围手术期行渐进性肌肉放松训练(PMRT)联合正念减压疗法(MBSR)干预的效果。方法前瞻性选取2020年5月至2022年5月南京医科大学第一附属医院收治的接受根治性切除术的HCCA患者120例,根据随机数字表法分为对照组(围手术期给予常规干预联合PMRT干预)60例和观察组(围手术期常规干预基础上给予PMRT联合MBSR干预)60例,两组均干预5周。采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)和Herth希望量表评价两组干预前后心理状态和希望水平,比较两组干预前后免疫功能指标及并发症发生情况。结果干预后,两组HAMA、HAMD评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预后,两组与他人保持的亲密关系、采取的积极行动、对现实和未来的积极态度及总量表评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预后,两组CD3+、CD4+、CD4+/CD8+高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);干预后,两组CD8+低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论PMRT联合MBSR用于HCCA患者根治性切除术围手术期具有重要的临床价值。

认知性心理护理联合正念减压训练在抑郁症患者中的应用效果分析

目的:分析认知性心理护理联合正念减压训练在抑郁症患者中的应用效果。方法:选取2021年1—12月常熟市第三人民医院收治的抑郁症患者60例作为研究对象,采用随机数字表法分成对照组和观察组,各30例。对照组实施常规护理,观察组在对照组基础上实施认知性心理护理联合正念减压训练。比较两组负面情绪、心理弹性及睡眠质量评分。结果:护理后,两组焦虑、抑郁评分低于护理前,且观察组低于对照组(P<0.05);护理后,两组坚韧性、自强性、乐观性评分高于护理前,且观察组高于对照组(P<0.05);护理5、10、15 d后,两组睡眠质量评分逐渐降低,且观察组低于对照组(P<0.05)。结论:认知性心理护理联合正念减压训练在抑郁症患者中的应用效果显著,可减轻患者不良情绪,重塑正确的认知,提高心理韧性,改善睡眠质量。

叙事护理联合正念减压疗法对军事训练骨折手术后康复效果的影响

目的:探究叙事护理联合正念减压疗法对军事训练骨折手术术后康复效果的影响.方法:选择2020年1月—2022年1月于我院接受治疗的62例因军事训练导致骨折经手术后的疗养员为研究对象,按照随机数字表法将其分为研究组与对照组,各31例,研究组接受叙事护理联合正念减压疗法,对照组接受常规康复期护理,对比2组护理前后疼痛程度、不良情绪、自我效能评分、疗养期间并发症的发生情况.结果:护理后7 d和15 d,研究组疼痛视觉模拟评分、焦虑自评量表评分均低于对照组,组间差异有统计学意义(P<0.05);研究组一般效能评分高于对照组,并发症发生率低于对照组,组间差异有统计学意义(P<0.05).结论:对军事训练所致骨折行手术治疗的疗养员开展叙事护理联合正念减压疗法有助于降低疗养员术后疼痛水平和焦虑状态,同时还有助于提高疗养员的自我效能评估,还可以降低各类并发症发生率,具有一定的推广应用价值.

阶段式康复护理联合正念减压训练对颅脑损伤患者术后临床结局的影响

目的:探究阶段式康复护理联合正念减压训练对颅脑损患者伤术后神经功能与平衡功能的影响.方法:选取本院2021年1月—2023年1月收治的96例颅脑损伤患者为研究对象,随机分为对照组和观察组,每组48例.其中对照组患者经手术治疗后接受常规护理干预,观察组患者经手术治疗后接受阶段式康复护理联合正念减压训练干预.观察并分析2组患者在神经功能、平衡功能等方面的变化情况.结果:干预后,观察组美国国立卫生研究院卒中量表评分低于对照组,格拉斯哥昏迷、神经行为认知状况测试、Barthel指数、Berg平衡量表、上肢运动功能与下肢运动功能评分均高于对照组,患者对治疗护理工作的配合度更高,且并发症发生率较低,组间差异有统计学意义(P<0.05).结论:以阶段式康复护理与正念减压训练相结合的方式对颅脑损伤患者开展术后护理干预,可有效促进患者神经、认知、平衡与运动功能的改善,有利于提高患者的配合度,康复效果更好.

吴茱萸穴位敷贴结合正念减压训练对原发性高血压患者睡眠状态研究

目的:探讨吴茱萸穴位敷贴结合正念减压训练在原发性高血压患者中的应用价值。方法:选取2022年5月至2023年9月福建省泉州市正骨医院四病区风湿内科收治的原发性高血压患者60例作为研究对象,按照随机抽签方式分为对照组和观察组,每组30例。2组均接受常规护理,对照组实施正念减压训练,观察组实施吴茱萸穴位敷贴结合正念减压训练,对2组睡眠状态、血压控制情况、予以比较。结果:干预后,睡眠质量优良率观察组、对照组分别为93.33%、70.00%,观察组明显更高(P<0.05);干预后,舒张压(DBP)、收缩压(SBP)水平观察组相比于对照组,有更明显下降(P<0.05)。结论:吴茱萸穴位敷贴结合正念减压训练能更有效改善原发性高血压患者睡眠状态,利于血压控制,并能提高患者疾病接受程度及生命质量。

正念减压训练在急诊科护士实施分层级别护理管理中的应用效果

目的探究急诊科护士分层级别护理管理中加入正念减压训练的作用效果。方法选取2021年2月—2023年3月吉林大学中日联谊医院急诊科就职的55名护士为研究对象,2021年2月—2022年2月实施分层级别护理管理(常规组),2022年3月—2023年3月实施分层级别护理管理联合正念减压训练(观察组)。对比两组职业认同感、正念水平及职业倦怠感评分。结果观察组的职业认同感、正念水平评分高于常规组,差异有统计学意义(P均<0.05)。观察组的情绪耗竭评分为(11.15±3.16)分、去人格化评分为(9.48±1.68)分,低于常规组的(12.62±2.14)分、(10.16±1.57)分,个人成就感评分为(45.85±4.22)分,高于对照组的(43.68±4.06)分,差异有统计学意义(t=2.857、2.193、2.748,P均<0.05)。结论急诊科护士分层级别护理管理基础上加入正念减压训练,应用效果显著。

多学科循证护理联合正念减压训练对功能性消化不良患者的效果分析

目的:探究多学科循证护理联合正念减压训练对功能性消化不良(FD)患者的效果。方法:选取2021年1月-2024年1月枣庄市峄城区人民医院收治的84例FD患者为研究对象,按照随机数字表法分为对照组和观察组,各42例。其中对照组给予常规干预,观察组在对照组基础上给予多学科循证护理与正念减压训练。比较两组临床症状、负性及生活质量。结果:干预后,观察组腹胀、餐后饱胀、早饱、嗳气、腹痛及恶心呕吐症等状评分均低于对照组,观察组负性情绪评分均低于对照组,观察组健康调查简表各维度评分均高于对照组,差异均有统计学意义(P<0.05)。结论:对FD患者采用多学科循证护理联合正念减压训练效果显著,可有效缓解患者临床症状,减轻负性情绪,提升生活质量。

正念减压训练联合安宁疗护对肺癌脑转移患者癌痛程度、自我感受负担及尊严感的影响

目的:探究正念减压训练联合安宁疗护对肺癌脑转移患者癌痛程度、自我感受负担及尊严感的影响。方法:选取2021年7月—2022年7月信阳市中心医院收治的94例肺癌脑转移患者作为研究对象,采用随机数表法将其分为对照组(n=47)和观察组(n=47),对照组给予常规护理,观察组在常规护理的基础上采用正念减压训练联合安宁疗护的模式干预3个月。比较干预前、干预3个月后,两组患者癌痛程度[简明疼痛量表(BPI)和视觉模拟疼痛评估量表(VAS)评分]、自我感受负担程度[自我感受负担量表(SPBS)评分]、尊严感[尊严感量表(PDI)评分]、生存质量[癌症患者生命质量测定量表(FACT)评分]差异。结果:干预后,两组患者BPI的当前疼痛程度、24 h内剧烈疼痛程度、24 h内轻微疼痛程度、24 h内平均疼痛程度评分均较干预前低,且观察组各项评分低于对照组,差异有统计学意义(t=3.079、2.152、2.308、3.288,P<0.05);干预后,两组患者情感、身体因素等自我负担程度相关SPBS评分均较干预前低,且观察组上述评分低于对照组,差异有统计学意义(t=3.064、3.543、3.013,P<0.05);干预后,两组患者疾病相关PDI尊严感评分均较干预前低,且观察组评分低于对照组,差异有统计学意义(t=3.191、2.570、3.296、2.943,P<0.05);干预后,两组患者FACT评分均较干预前高,且观察组评分高于对照组,差异有统计学意义(t=3.515、3.446、3.344、2.571,P<0.05)。结论:采用正念减压训练联合安宁疗护的模式对肺癌脑转移患者进行干预后,能够有效改善患者癌痛情况以及自我感受负担程度,提高患者尊严感以及生存质量。

营养支持延续护理联合正念减压训练对胃癌术后患者营养状况及心理状态的影响观察

目的 分析营养支持延续护理与正念减压训练对胃癌术后患者的影响。方法 选取郑州大学第一附属医院2022年1月至2024年1月入院的106例胃癌术后患者为研究对象。遵循随机抽样法分组,对照组(n=53)实施营养支持延续护理,研究组(n=53)在上述基础上实施正念减压训练,比较两组营养状况[白蛋白(ALB)、血红蛋白(Hb)、前白蛋白(PA)]、心理状况[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]及生活质量(GQOLI-74)。结果 两组术后1 d ALB、Hb、PA水平比较,差异无统计学意义(P> 0.05),研究组术后1个月、3个月、6个月ALB、Hb、PA高于对照组,差异有统计学意义(P <0.05)。两组术后1 d HAMA、HAMD评分比较,差异无统计学意义(P> 0.05),研究组术后3个月、6个月HAMA、HAMD评分低于对照组,差异有统计学意义(P <0.05)。两组术后1 d GQOLI-74评分比较,差异无统计学意义(P> 0.05),研究组术后6个月GQOLI-74评分高于对照组,差异有统计学意义(P <0.05)。结论 胃癌术后患者在营养支持延续护理与正念减压训练联合干预可提高营养状况及生活质量,并有利于改善焦虑、抑郁情绪。

以护士为主导的认知及康复护理联合正念减压训练对结直肠癌术后患者康复进程及负性情绪的影响

目的探讨以护士为主导的认知及康复护理联合正念减压训练对结直肠癌术后患者康复进程及负性情绪的影响。方法选择2020年3月—2023年3月海军军医大学第二附属医院收治的60例结直肠癌术后患者为研究对象,按随机数字表法将其分为对照组与观察组,各30例。对照组采用结直肠癌常规术后干预,观察组采用以护士为主导的认知及康复护理联合正念减压训练干预。比较两组患者的康复进程、负性情绪及生活质量。结果干预后,观察组术后首次排气时间、肠道恢复时间、下床活动时间及住院时间均短于对照组,组间差异有统计学意义(P<0.05);观察组焦虑自评量表、抑郁自评量表评分均低于对照组,组间差异有统计学意义(P<0.05);生活质量量表综合评定问卷各个维度评分均高于对照组,组间差异有统计学意义(P<0.05)。结论以护士为主导的认知及康复护理联合正念减压训练可加快结直肠癌术后患者康复进程,减轻其负性情绪,改善生活质量。

Fatigue Characterization on a Cast Aluminum Beam of a High-Speed Train Through Numerical Simulation and Experiments

The cast aluminum beam is a key structure for carrying the body-hung traction motor of a high-speed train;its fatigue property is fundamental for predicting the residual life and service mileage of the structure.To characterize the structural fatigue property,a finite element-based method is developed to compute the stress concentration factor,which is used to obtain the structural fatigue strength reduction factors.A full-scale fatigue test on the cast aluminum beam is designed and implemented for up to ten million cycles,and the corresponding finite element model of the beam is validated using the measured data of the gauges.The results show that the maximum stress concentration occurs at the fillet of the supporting seat,where the structural fatigue strength reduction factor is 2.45 and the calculated fatigue limit is 35.4 MPa.Moreover,no surface cracks are detected using the liquid penetrant test.Both the experimental and simulation results indicate that the cast aluminum beam can satisfy the service life requirements under the designed loading conditions.

正念减压训练联合微课健康教育在1型糖尿病患儿中的应用效果

目的探讨正念减压训练联合微课健康教育在1型糖尿病患儿中的作用。方法选取2020年5月至2022年5月九江市妇幼保健院收治的70例1型糖尿病患儿作为研究对象,按照随机数字表法分为对照组和观察组,每组35例。对照组给予常规护理,观察组在常规护理的同时给予正念减压训练联合微课健康教育,两组均持续护理2周。比较两组患儿的负面情绪、自我管理能力、健康知识掌握情况、血糖水平与并发症发生情况。结果两组护理前负面情绪、自我管理能力、健康知识掌握情况比较,差异无统计学意义(P>0.05);观察组护理后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组,自我管理能力、健康知识评分高于对照组,差异有统计学意义(P<0.05)。两组护理前血糖水平比较,差异无统计学意义(P>0.05);观察组护理后空腹血糖(FPG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(HbA1c)均低于对照组,差异有统计学意义(P<0.05)。观察组的并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论正念减压训练联合微课健康教育可减轻1型糖尿病患儿不良情绪,提升患儿对健康知识掌握,促进自我管理能力的提高,有效维持血糖水平稳定,降低并发症风险。