摘要
目的:探讨正念认知疗法对冠状动脉粥样硬化性心脏病(冠心病)患者心理状态和生命质量的影响。方法:选取113例冠心病患者进行前瞻性研究,采用随机数字表法分为对照组(n=56)和研究组(n=57)。对照组给予常规心理干预,研究组给予正念认知疗法干预,比较两组干预前后负性情绪[汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)]评分和生命质量[健康调查简表(SF-36)]评分。结果:干预后,研究组HAMA评分和HAMD评分均低于对照组,差异有统计学意义(P<0.05);研究组SF-36量表各维度评分均高于对照组,差异有统计学意义(P<0.05)。结论:正念认知疗法干预可降低冠心病患者负性情绪评分,提高生命质量评分,效果优于常规心理干预。
Objective:To explore effects of mindfulness-based cognitive therapy on psychological state and quality of life of patients with coronary atherosclerotic heart disease(coronary heart disease).Methods:113 patients with coronary heart disease were selected as the research objects,and were divided into control group(n=56)and study group(n=57)by using the random number table method.The control group was given routine psychological intervention,while the study group was given the mindfulness-based cognitive therapy intervention.The negative emotion[Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)]scores and the quality of life the MOS 36-item[short form health survey(SF-36)]score before and after the intervention were compared between the two groups.Results:After the intervention,the HAMA score and HAMD score of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).The scores of SF-36 dimensions including physiological function,physiological function,physical pain,general health,energy,social function,emotional function and mental health in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:The mindfulness-based cognitive therapy can reduce the negative emotion scores of patients with coronary heart disease and improve the quality of life scores.Moreover,it is superior to routine psychological intervention.
作者
李雪艳
刘静
张丽
LI Xueyan;LIU Jing;ZHANG Li(Department of Psychosomatics of Zibo Mental Health Center,Zibo 255100 Shandong,China)
出处
《中国民康医学》
2021年第17期133-135,共3页
Medical Journal of Chinese People’s Health
基金
淄博市科学技术发展计划项目(2018kj010051)。
关键词
正念认知疗法
冠状动脉粥样硬化性心脏病
负性情绪
生命质量
Mindfulness-based cognitive therapy
Coronary atherosclerotic heart disease
Negative emotion
Quality of life
