【摘要】 目的探讨正念减压疗法对慢性结肠炎患者负性情绪及腹痛、腹泻症状的影响.方法将进行常规治疗的70例慢性结肠炎患者分为对照组和实验组,其中,对照组35例,行常规的药物治疗、护理措施及健康教育;实验组35例,在常规治疗的基础上实行为期6周正念减压疗法,1次/周,0.5 h/次.采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、视觉模拟评定法(VAS)及腹泻测量指标对患者的焦虑、抑郁、腹痛及腹泻状态进行评价.结果进行6周正念减压疗法干预后,实验组SAS得分为(40.14±4.25)分,SDS得分为(40.13±2.15)分,VAS得分为(4.14±1.23)分,均低于对照组,差异具有统计学意义(P<0.05).实验组腹泻测量指标总有效率为29%,对照组的总有效率为30%,差异无统计学意义(P>0.05).结论正念减压疗法可有效地改善慢性结肠炎患者的负性情绪及腹痛症状,但对缓解腹泻的作用不明显.更多还原

【Abstract】 Objective To investigate the effects of mindfulness-based positive stress reduction therapy on negative emotions and abdominal pain and diarrhea symptoms in patients with chronic colitis. Method Seventy patients with chronic colitis who underwent conventional treatment were used as the study subjects. In the control group,35 cases were treated with conventional medication,nursing care and health education; In the experimental group,35 cases were treated with 6 weeks of mindfulness-based stress reduction therapy,1 time/week,0. 5 h/time,on the basis of conventional treatment. Self-rating anxiety scale( SAS),self-rating depression scale( SDS),visual analog assessment( VAS) and diarrhea measurement index and diarrhea measurement indexes were used to evaluate the anxiety,depression,abdominal pain and diarrhea of patients. Results After 6-week intervention,the SAS score( 40. 14±4. 25),SDS score( 40. 13±2. 15) and VAS score( 4. 14±1. 23) of the experimental group were lower than those of the control group,and the difference was statistically significant( P<0. 05). The total effective rate of diarrhea measurement index was 29% in the experimental group and 30% in the control group,and the difference was not statistically significant( P>0. 05). Conclusion MBSR therapy can effectively improve negative emotions and abdominal pain symptoms of patients with chronic colitis,and the effect on relieving diarrhea is not obvious.更多还原