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
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摘要
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.
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.
引文
[1]郝美美,刘家云,邓艳春.同型半胱氨酸、维生素B12及叶酸与脑梗死的相关性研究[J].医学临床研究,2015,32(2):269-271
[2]邹蓉,曲晓宁,周艳玲,等.介入技术治疗缺血性脑血管疾病的疗效观察[J].湖南师范大学学报(医学版),2015,12(3):62-64
[3]沈珺,靳令经.脑卒中后抑郁与梗死部位及甲状腺功能的相关性分析[J].中国健康心理学杂志,2015,23(9):1303-1306
[4]徐扬,王俊凤,高建美.家庭支持对脑卒中偏瘫患者情绪和生活质量的影响[J].中国健康心理学杂志,2015,23(3):458-460
[5]王娟,蔡文智,王静新,等.急性脑卒中患者预后相关因素分析[J].中华神经医学杂志,2015,14(9):927-931
[6]唐敏.中医情志护理干预对改善冠心病病人心理状态的影响[J].蚌埠医学院学报,2017,42(4):543-545
[7]梁丹,张玉芳,李猛,等.中医情志护理改善脑卒中患者抑郁症状临床疗效系统评价[J].辽宁中医杂志,2015,42(3):606-608
[8]王云霞,蒋春雷.正念冥想的生物学机制与身心健康[J].中国心理卫生杂志,2016,30(2):105-108
[9]钟佳涵,李波,刘素贞.团体正念认知训练对大学生焦虑水平的影响[J].中国健康心理学杂志,2015,23(7):1067-1071
[10]中华医学会神经病学分会.中国急性缺血性脑卒中诊治指南2014[J].中华神经科杂志,2015,48(4):246-257
[11]徐慰,王玉正,刘兴华.8周正念训练对负性情绪的改善效果[J].中国心理卫生杂志,2015,29(7):497-502
[12]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
[13]王宴庆,赵鑫.正念对考试焦虑的影响:情绪调节自我效能感的中介作用[J].中国临床心理学杂志,2015,23(4):746-749
[14]Lee Y C,Lin Y C,Huang C L,et al.The construct and measurement of peace of mind[J].Journal of Happiness Studies,2013,14(2):571-590
[15]罗亚莉,张大均,刘云波,等.特质愤怒量表中文版在大学生人群应用的信度和效度[J].中国心理卫生杂志,2011,25(9):700-704櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏
[16]王宇,许珊珊,孙霞,等.轻症抑郁患者在团体认知行为治疗后特质应对方式的变化[J].神经疾病与精神卫生,2017,17(2):98-102
[17]张为良,李雪蓉,宋永斌,等.缺血性脑血管病合并不宁腿综合征患者的睡眠质量和神经功能的特点[J].神经疾病与精神卫生,2017,17(5):330-333
[18]陈瑞全,吴建贤,沈显山.中文版Fugl-Meyer运动功能评定量表的最小临床意义变化值的研究[J].安徽医科大学学报,2015,50(4):519-522
[19]刘特炯,于文钦,郑宋华,等.长春西汀对急性脑梗死患者血清IL-23和IL-17水平的影响[J].神经疾病与精神卫生,2015,15(1):78-80
[20]王诗茗,张振铎,刘兴华.平静心境量表在大学生中的试测[J].中国心理卫生杂志,2016,30(7):543-547
[21]叶慧芳,陈秀丽.照顾者反应对脑出血患者卒中后愤怒倾向的影响[J].护理管理杂志,2015,15(5):327-329
[2]邹蓉,曲晓宁,周艳玲,等.介入技术治疗缺血性脑血管疾病的疗效观察[J].湖南师范大学学报(医学版),2015,12(3):62-64
[3]沈珺,靳令经.脑卒中后抑郁与梗死部位及甲状腺功能的相关性分析[J].中国健康心理学杂志,2015,23(9):1303-1306
[4]徐扬,王俊凤,高建美.家庭支持对脑卒中偏瘫患者情绪和生活质量的影响[J].中国健康心理学杂志,2015,23(3):458-460
[5]王娟,蔡文智,王静新,等.急性脑卒中患者预后相关因素分析[J].中华神经医学杂志,2015,14(9):927-931
[6]唐敏.中医情志护理干预对改善冠心病病人心理状态的影响[J].蚌埠医学院学报,2017,42(4):543-545
[7]梁丹,张玉芳,李猛,等.中医情志护理改善脑卒中患者抑郁症状临床疗效系统评价[J].辽宁中医杂志,2015,42(3):606-608
[8]王云霞,蒋春雷.正念冥想的生物学机制与身心健康[J].中国心理卫生杂志,2016,30(2):105-108
[9]钟佳涵,李波,刘素贞.团体正念认知训练对大学生焦虑水平的影响[J].中国健康心理学杂志,2015,23(7):1067-1071
[10]中华医学会神经病学分会.中国急性缺血性脑卒中诊治指南2014[J].中华神经科杂志,2015,48(4):246-257
[11]徐慰,王玉正,刘兴华.8周正念训练对负性情绪的改善效果[J].中国心理卫生杂志,2015,29(7):497-502
[12]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
[13]王宴庆,赵鑫.正念对考试焦虑的影响:情绪调节自我效能感的中介作用[J].中国临床心理学杂志,2015,23(4):746-749
[14]Lee Y C,Lin Y C,Huang C L,et al.The construct and measurement of peace of mind[J].Journal of Happiness Studies,2013,14(2):571-590
[15]罗亚莉,张大均,刘云波,等.特质愤怒量表中文版在大学生人群应用的信度和效度[J].中国心理卫生杂志,2011,25(9):700-704櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏
[16]王宇,许珊珊,孙霞,等.轻症抑郁患者在团体认知行为治疗后特质应对方式的变化[J].神经疾病与精神卫生,2017,17(2):98-102
[17]张为良,李雪蓉,宋永斌,等.缺血性脑血管病合并不宁腿综合征患者的睡眠质量和神经功能的特点[J].神经疾病与精神卫生,2017,17(5):330-333
[18]陈瑞全,吴建贤,沈显山.中文版Fugl-Meyer运动功能评定量表的最小临床意义变化值的研究[J].安徽医科大学学报,2015,50(4):519-522
[19]刘特炯,于文钦,郑宋华,等.长春西汀对急性脑梗死患者血清IL-23和IL-17水平的影响[J].神经疾病与精神卫生,2015,15(1):78-80
[20]王诗茗,张振铎,刘兴华.平静心境量表在大学生中的试测[J].中国心理卫生杂志,2016,30(7):543-547
[21]叶慧芳,陈秀丽.照顾者反应对脑出血患者卒中后愤怒倾向的影响[J].护理管理杂志,2015,15(5):327-329