八周简易正念减压训练对老年功能性消化不良患者焦虑抑郁和睡眠质量的改善作用

背景功能性消化不良(functional dyspepsia,FD)容易使患者出现焦虑、抑郁负面心理,影响患者睡眠质量.精神、心理因素在FD疾病中占重要地位,加强了解FD患者的心理状况,以更好的实施针对性的干预措施,降低负面情绪和改善睡眠质量.目的观察八周简易正念减压训练对老年FD患者焦虑抑郁和睡眠质量的改善.方法选取2017-03/2019-06在浙江省金华市第二医院就诊的老年FD患者90例为研究对象,随机分为对照组和观察组各45例.对照组给予常规护理.观察组在对照组基础上给予八周简易正念减压训练干预.观察2组患者干预前后焦虑、抑郁评分变化,匹兹堡睡眠质量指数评分变化、入睡时间、睡眠时间变化情况.结果与干预前比较,2组焦虑自评量表和抑郁自评量表评分均降低(P<0.05),且观察组降低明显于对照组(P<0.05).与干预前比较,2组干预后睡眠质量明显改善(P<0.05),入睡时间明显缩短(P<0.05),睡眠时间明显延长(P<0.05),且观察组明显于对照组(P<0.05).结论八周简易正念减压训练能够有效减轻老年FD患者焦虑、抑郁等负性情绪,改善患者睡眠质量,值得临床推广.

Effects of eight weeks of simple mindfulness stress reduction training on anxiety,depression,and sleep quality in elderly patients with functional dyspepsia

BACKGROUND Functional dyspepsia(FD)tends to cause anxiety and depression in patients and affect their sleep quality.Mental and psychological factors play an important role in the development of FD.Therefore,it is necessary to strengthen the understanding of the psychological status of FD patients to better implement targeted intervention measures to reduce negative emotions and improve sleep quality.AIM To observe the effects of 8 wk of simple mindfulness stress reduction training on anxiety,depression,and sleep quality in elderly patients with FD.METHODS Ninety elderly FD patients admitted to The Second Hospital of Jinhua,Zhejiang Province from March 2017 to June 2019 were selected as study subjects,and they were randomly divided into either a control group or an observation group,each with 45 cases.Both groups received routine care,and the observation group was additionally given 8 wk of simple mindfulness stress reduction training intervention.Changes in anxiety and depression scores,Pittsburgh sleep quality index score,sleep latency,and sleep duration were recorded before and after intervention.RESULTS Self-rating anxiety scale and self-rating depression scale scores in the two groups were significantly lower than those in the control group(P<0.05).Compared with those before intervention,sleep quality was significantly improved(P<0.05),sleep latency was significantly shortened(P<0.05),and sleep duration was significantly prolonged(P<0.05)in both groups after intervention;the observation group was significantly better than the control group in these indexes(P<0.05).CONCLUSION Eight weeks of simple mindfulness stress reduction training can effectively relieve anxiety,depression,and other negative emotions and improve sleep quality in elderly patients with FD.