正念减压疗法对严重烧伤患者心理应激反应及生活质量的影响

目的 探讨正念减压疗法对严重烧伤患者的心理应激反应及生活质量的影响。 方法将2015年3月-2018年3月我院收治的110例大面积烧伤患者随机分成研究组和对照组,每组55例;对照组给予常规专科护理,研究组在对照组基础上给予正念减压训练,应用汉密尔顿抑郁量表(Hamilton depression scale, HAMD)、焦虑量表(Hamilton anxiety scale, HAMA)及简明健康量表(the MOS item short from health survey, SF-36)评估2组患者心理应激反应和生活质量。 结果干预后,研究组HAMD、HAMA评分均低于对照组(t=24.389,P<0.001; t=26.374,P<0.001),SF-36各维度评分均高于对照组。 结论 正念减压训练可有效缓解严重烧伤患者心理应激反应,提升其生活质量,具有重要的临床意义。

Effects of the mindfulness-based stress reduction therapy on the mental stress response and life quality of severely burned patients

Objective To evaluate the effect of the mindfulness-based stress reduction (MBSR) therapy on the mental stress response and life quality of severely burned patients. Methods Totally 110 patients with large area burns admitted to our hospital between March 2015 and March 2018 were selected and randomly divided into an experimental group and a control group, each of 55. Both groups were given routine nursing, while the experimental group was additionally provided with the mindfulness decompression training. Before and after the intervention, both groups were evaluated the mental stress response using the Hamilton depression rating scale (HAMD) and Hamilton anxiety scale (HAMA), as well as the life quality using the MOS item short form health survey (SF-36). Results After the intervention, the HAMD and HAMA scores of the experimental group were significantly lower than that of the control group, while the total SF-36 score and sub-scores of all dimensions were significantly higher than the latter. Conclusion It is of great clinical significance to carry out the mindfulness-based stress reduction training for severe burn patients, which can effectively relieve their psychological stress response and improve their life quality.