基于互联网的正念减压疗法心理护理在炎性关节炎患者中的应用效果
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摘要
目的探讨基于互联网的正念减压疗法心理护理在炎性关节炎患者中的应用效果。方法采用便利取样法,选取河北北方学院附属第一医院2017年7月—2018年11月间风湿免疫科及关节外科招募符合纳入标准和排除标准的126例炎性关节炎患者为研究对象,使用随机数字表法将其分为2组:实验组(62例)和对照组(64例),对对照组给予心理健康教育,对实验组给予基于互联网的正念减压疗法干预,比较2组干预前后的抑郁水平、焦虑水平、正念水平、生活质量、皮质醇浓度及人格特质。结果在干预前,2组患者在这些指标上得分差异无统计学意义。在干预后,实验组患者的抑郁BDI-II得分、焦虑SAS得分、综合生活质量得分、皮质醇的浓度、神经质维度得分、精神质维度得分及掩饰性维度得分均低于对照组,正念得分、内外向维度得分高于对照组,差异均具有统计学意义(均P<0.05)。结论基于互联网的正念减压疗法心理护理可以缓解炎性关节炎患者的负性情绪,提高正念水平和生活质量,调整下丘脑-垂体-肾上腺轴的功能,改善人格特质,为在临床上推广应用这种基于互联网的正念减压疗法心理护理干预方式提供数据支持和实践经验。
Objective To explore the application effect of internet-based mindfulness decompression therapy psychological nursing in the nursing of patients with inflammatory arthritis. Methods From July 2017 to November 2018, 126 patients with inflammatory arthritis which met the inclusion and exclusion criteria were enrolled in the Department of Rheumatology and Joint Surgery, and 126 patients were randomly divided into two groups, namely experimental group(62 cases) and control group(64 cases) using the convenient sampling method. The mental health education was given to the control group, and the experimental group was given Internet-based mindfulness decompression therapy intervention. The depression level, anxiety level, mindfulness level, quality of life, cortisol concentration and personality traits of the two groups were compared before and after the intervention. Results Before the intervention, there was no statistically significant difference in scores on these indicators between the two groups. After the intervention, the scores of depression BDⅠ-Ⅱ, anxiety SAS, comprehensive quality of life, cortisol concentration, neuroticism, psychoticism and dissimulation in the experimental group were all lower than those in the control group, mindfulness score and introversion dimension score were higher than those in the control group, and the difference was statistically significant(all P<0.05). Conclusion Internet-based psychological care for mindfulness decompression therapy can alleviate the negative emotions of patients with inflammatory arthritis, improve the level of mindfulness and quality of life, adjust the function of the hypothalamic-pituitary-adrenal axis, improve personality traits, and promote clinically. Internet based mindfulness stress reduction psychological nursing therapy could provide data support and practical experience.
Objective To explore the application effect of internet-based mindfulness decompression therapy psychological nursing in the nursing of patients with inflammatory arthritis. Methods From July 2017 to November 2018, 126 patients with inflammatory arthritis which met the inclusion and exclusion criteria were enrolled in the Department of Rheumatology and Joint Surgery, and 126 patients were randomly divided into two groups, namely experimental group(62 cases) and control group(64 cases) using the convenient sampling method. The mental health education was given to the control group, and the experimental group was given Internet-based mindfulness decompression therapy intervention. The depression level, anxiety level, mindfulness level, quality of life, cortisol concentration and personality traits of the two groups were compared before and after the intervention. Results Before the intervention, there was no statistically significant difference in scores on these indicators between the two groups. After the intervention, the scores of depression BDⅠ-Ⅱ, anxiety SAS, comprehensive quality of life, cortisol concentration, neuroticism, psychoticism and dissimulation in the experimental group were all lower than those in the control group, mindfulness score and introversion dimension score were higher than those in the control group, and the difference was statistically significant(all P<0.05). Conclusion Internet-based psychological care for mindfulness decompression therapy can alleviate the negative emotions of patients with inflammatory arthritis, improve the level of mindfulness and quality of life, adjust the function of the hypothalamic-pituitary-adrenal axis, improve personality traits, and promote clinically. Internet based mindfulness stress reduction psychological nursing therapy could provide data support and practical experience.
引文
[1] VAN RIEL P,ALTEN R,COMBE B,et al.Improving inflammatory arthritis management through tighter monitoring of patients and the use of innovative electronic tools[J].RMD Open,2016,2(2):e000302.
[2] 孙卓,黄烽,张江林,等.关节镜在炎性关节炎诊治中的应用综述[J].解放军医学院学报,2017,38(16):575-577.
[3] BALSA A,LOJO-OLIVEIRA L,ALPERI-LóPEZ M,et al.Prevalence of comorbidities in rheumatoid arthritis and evaluation of their monitoring in clinical practice:The spanish cohort of the COMORA study[J].Reumatol Clin,2019,15(2):102-108.
[4] RAYNER L,MATCHAM F,HUTTON J,et al.Embedding integrated mental health assessment and management in general hospital settings:feasibility,acceptability and the prevalence of common mental disorder[J].General Hospital Psychiatry,2014,36(3):318-324.
[5] BACCONNIER L,RINCHEVAL N,FLIPO R M,et al.Psychological distress over time in early rheumatoid arthritis:results from a longitudinal study in an early arthritis cohort[J].Rheumatology,2015,54(3):520-527.
[6] KOLAHKAJ B,ZARGAR F.Effect of mindfulness-based stress reduction on anxiety,depression and stress in women with multiple sclerosis[J].Nurs Midwifery Stud,2015,4(4):1-6.
[7] 孙卓,黄烽,张江林.关节镜在炎性关节炎诊治中的应用综述[J].解放军医学院学报,2017,38(6):575-577.
[8] 张佳媛,周郁秋,张全志,等.正念减压疗法对乳腺癌患者知觉压力及焦虑抑郁水平的影响[J].中华护理杂志,2015,50(2):189-193.
[9] BECK A T,STEER R A.Manual for the beck depression inventory[M].San Antonio,TX:Psychological Corporation,1996.
[10] 王振,苑成梅,黄佳,等.贝克抑郁量表第2版中文版在抑郁症患者中的信效度[J].中国心理卫生杂志,2011,25(6):476-480.
[11] 张明园.精神科评定量表手册[M].2版.长沙:湖南科学技术出版社,1998:81.
[12] CHAMPION L,ECONOMIDES M,CHANGLER C.The efficacy of a brief app-based mindfulness intervention on psychosocial outcomes in healthy adults:A pilot randomised controlled trial[J].PLoS One,2018,13(12):e0209482.
[13] 方积乾.生活质量测定方法及应用[M].北京:北京医科大学出版社,2000:176.
[14] EYSENCK H,EYSENCK S.Manual of the Eysenck personality questionnaire[J].J Card Fail,1975,20(5):S67.
[15] CRESCENTINI C,MATIZ A,CIMENTI M,et al.Effect of mindfulness meditation on personality and psychological well-being in patients with multiple sclerosis[J].Int J MS Care,2018,20(3):101-108.
[16] HENDERSON V P,CLEMOW L,MASSION A O,et al.The effects of mindfulness-based stress reduction on psychosocial outcomes and quality of life in early-stage breast cancer patients:a randomized trial[J].Breast Cancer Res Treat,2012,131(1):99-109.
[17] 薄海欣,陈洁.正念减压疗法对不孕症患者焦虑抑郁水平及生活质量的影响[J].护理管理杂志,2017,17(4):274-276.
[2] 孙卓,黄烽,张江林,等.关节镜在炎性关节炎诊治中的应用综述[J].解放军医学院学报,2017,38(16):575-577.
[3] BALSA A,LOJO-OLIVEIRA L,ALPERI-LóPEZ M,et al.Prevalence of comorbidities in rheumatoid arthritis and evaluation of their monitoring in clinical practice:The spanish cohort of the COMORA study[J].Reumatol Clin,2019,15(2):102-108.
[4] RAYNER L,MATCHAM F,HUTTON J,et al.Embedding integrated mental health assessment and management in general hospital settings:feasibility,acceptability and the prevalence of common mental disorder[J].General Hospital Psychiatry,2014,36(3):318-324.
[5] BACCONNIER L,RINCHEVAL N,FLIPO R M,et al.Psychological distress over time in early rheumatoid arthritis:results from a longitudinal study in an early arthritis cohort[J].Rheumatology,2015,54(3):520-527.
[6] KOLAHKAJ B,ZARGAR F.Effect of mindfulness-based stress reduction on anxiety,depression and stress in women with multiple sclerosis[J].Nurs Midwifery Stud,2015,4(4):1-6.
[7] 孙卓,黄烽,张江林.关节镜在炎性关节炎诊治中的应用综述[J].解放军医学院学报,2017,38(6):575-577.
[8] 张佳媛,周郁秋,张全志,等.正念减压疗法对乳腺癌患者知觉压力及焦虑抑郁水平的影响[J].中华护理杂志,2015,50(2):189-193.
[9] BECK A T,STEER R A.Manual for the beck depression inventory[M].San Antonio,TX:Psychological Corporation,1996.
[10] 王振,苑成梅,黄佳,等.贝克抑郁量表第2版中文版在抑郁症患者中的信效度[J].中国心理卫生杂志,2011,25(6):476-480.
[11] 张明园.精神科评定量表手册[M].2版.长沙:湖南科学技术出版社,1998:81.
[12] CHAMPION L,ECONOMIDES M,CHANGLER C.The efficacy of a brief app-based mindfulness intervention on psychosocial outcomes in healthy adults:A pilot randomised controlled trial[J].PLoS One,2018,13(12):e0209482.
[13] 方积乾.生活质量测定方法及应用[M].北京:北京医科大学出版社,2000:176.
[14] EYSENCK H,EYSENCK S.Manual of the Eysenck personality questionnaire[J].J Card Fail,1975,20(5):S67.
[15] CRESCENTINI C,MATIZ A,CIMENTI M,et al.Effect of mindfulness meditation on personality and psychological well-being in patients with multiple sclerosis[J].Int J MS Care,2018,20(3):101-108.
[16] HENDERSON V P,CLEMOW L,MASSION A O,et al.The effects of mindfulness-based stress reduction on psychosocial outcomes and quality of life in early-stage breast cancer patients:a randomized trial[J].Breast Cancer Res Treat,2012,131(1):99-109.
[17] 薄海欣,陈洁.正念减压疗法对不孕症患者焦虑抑郁水平及生活质量的影响[J].护理管理杂志,2017,17(4):274-276.