首页|期刊导航|中外医学研究|正念减压疗法联合多元化健康教育对脊柱骨折手术患者心理健康和疼痛的影响

正念减压疗法联合多元化健康教育对脊柱骨折手术患者心理健康和疼痛的影响OA

Effects of Mindfulness-based Decompression Therapy Combined with Diversified Health Education on Mental Health and Pain in Patients Undergoing Spinal Fracture Surgery

中文摘要英文摘要

目的:探讨正念减压疗法联合多元化健康教育对脊柱骨折手术患者的影响.方法:选取 2020 年 3 月—2023 年4 月江苏大学附属医院收治的 80 例脊柱骨折手术患者作为研究对象.随机分为对照组、研究组,各 40 例.对照组实施常规护理,研究组实施正念减压疗法联合多元化健康教育.比较两组心理健康、疼痛程度、生活质量.结果:干预前,两组心理健康症状自评表(SCL-90)各项评分比较,差异无统计学意义(P>0.05);干预后,研究组焦虑、抑郁、偏执、恐怖、敌对、躯体化、精神病性、强迫症状、人际关系敏感评分均低于对照组,差异有统计学意义(P<0.05).干预前,两组数字评估量表(NRS)评分比较,差异无统计学意义(P>0.05);干预后,研究组NRS评分低于对照组,差异有统计学意义(P<0.05).干预前,两组各项生活质量评分比较,差异无统计学意义(P>0.05);干预后,研究组认知功能、角色功能、躯体功能、社会功能评分高于对照组,差异有统计学意义(P<0.05).结论:脊柱骨折手术患者实施正念减压疗法联合多元化健康教育干预,可减轻心理应激反应,促进心理健康,且还可缓解疼痛感,改善生活质量.

Objective:To explore the effect of mindfulness-based decompression therapy combined with diversified health education on patients undergoing spinal fracture surgery.Method:A total of 80 patients with spinal fracture surgery admitted to Affiliated Hospital of Jiangsu University from March 2020 to April 2023 were selected as the study objects,and they were randomly divided into control group and study group,with 40 cases in each group.The control group received routine nursing,and the study group received mindfulness-based decompression therapy combined with diversified health education.Mental health,pain and quality of life were compared between the two groups.Result:Before intervention,there were no significant differences in scores of mental health symptom checklist 90(SCL-90)between the two groups(P>0.05).After intervention,the scores of anxiety,depression,paranoia,terror,hostility,somatization,psychosis,obsessive symptoms and interpersonal sensitivity in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in numerical rating scale(NRS)score between the two groups(P>0.05).After intervention,the NRS score of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).Before intervention,there were no significant differences in quality of life scores between the two groups(P>0.05).After intervention,the scores of cognitive function,role function,physical function and social function in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The application of mindfulness-based decompression therapy combined with diversified health education intervention in patients undergoing spinal fracture surgery can reduce psychological stress response,promote mental health,relieve pain and improve quality of life.

谭小翠;高丽琴

江苏大学附属医院 江苏 镇江 212000镇江市第一人民医院

脊柱骨折手术正念减压疗法多元化健康教育心理健康疼痛

Spinal fracture surgeryMindfulness-based decompression therapyDiversified health educationMental healthPain

《中外医学研究》 2024 (006)

68-72 / 5

2019年度镇江市社会发展指导性项目(FZ2019029)

10.14033/j.cnki.cfmr.2024.06.017

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