摘要
目的探讨基于正念注意-接纳理论的心理干预对银屑病患者病耻感、心理状态及治疗依从性的影响。方法选取中国人民解放军空军军医大学第二附属医院2018年5月至2021年5月期间收治的150例银屑病患者作为研究对象,按随机数表法分为观察组和对照组,每组75例,两组患者均进行常规护理干预,观察组在此基础上进行正念注意-接纳理论的心理干预。比较两组患者干预前、干预4周后病耻感[采用慢性病病耻感量表(SSCI)评价]、心理状态[采用Zung氏抑郁自评量表(SDS)和焦虑自评量表(SAS)评价]、正念水平[采用五因素正念量表(FFMQ)评价]和治疗依从性。结果干预后,观察组患者的病耻感中,外在病耻感、内在病耻感评分分别为(16.73±3.17)分、(19.16±3.84)分,明显低于对照组的(24.43±3.93)分、(27.32±5.18)分,差异均具有统计学意义(P<0.05);干预后,观察组患者的心理状态中,SAS、SDS评分分别为(25.67±4.52)分、(23.22±4.60)分,明显低于对照组的(38.78±7.44)分、(30.57±6.11)分,差异均具有统计学意义(P<0.05);干预后,观察组患者的治疗依从性中,用药情况、正念训练情况、定期复诊情况评分分别为(29.27±5.74)分、(23.69±4.23)分、(23.72±3.72)分,明显高于对照组的(24.68±5.03)分、(19.36±3.45)分、(20.15±3.16)分,差异均具有统计学意义(P<0.05);干预后,观察组患者的正念水平中,观察、不判断、不行动评分分别为(26.37±4.85)分、(28.36±4.36)分、(25.88±3.99)分,明显高于对照组的(24.16±5.02)分、(25.38±4.22)分、(22.07±3.73)分,差异均具有统计学意义(P<0.05)。结论基于正念注意-接纳理论的心理干预可以有效改善银屑病患者的病耻感、抑郁和焦虑症状,提高治疗依从性,教导患者摆脱思维的习惯性,改善负性情绪,实现自我控制。
Objective To explore the effects of psychological intervention based on mindfulness attention-acceptance theory on stigma,psychological status,and treatment compliance in patients with psoriasis.Methods A total of 150 patients with psoriasis were enrolled as the research objects between May 2018 and May 2021.According to random number table method,they were divided into an observation group and a control group,with 75 patients in each group.Both groups of patients were given routine nursing.On this basis,the patients in the observation group were given psychological intervention based on mindfulness attention-acceptance theory.Before and 4 weeks after intervention,the stigma[evaluated by Stigma Scale for Chronic Illness(SSCI)],psychological status[evaluated by the Zung’s Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)],the level of mindful attention[evaluated by the Five Facet Mindfulness Questionnaire(FFMQ)],and treatment compliance were compared between the two groups.Results After intervention,scores of stigma(external and internal stigma)in observation group were(16.73±3.17)points and(19.16±3.84)points,significantly lower than(24.43±3.93)points and(27.32±5.18)points in the control group(P<0.05).After intervention,scores of mental state(SAS and SDS)in the observation group were(25.67±4.52)points and(23.22±4.60)points,significantly lower than(38.78±7.44)points and(30.57±6.11)points in the control group(P<0.05).After intervention,scores of treatment adherence(medication,mindfulness training,and regular visits)in the observation group were(29.27±5.74)points,(23.69±4.23)points,and(23.72±3.72)points,significantly lower than(24.68±5.03)points,(19.36±3.45)points,and(20.15±3.16)points in the control group(P<0.05).After intervention,scores of the level of mindful attention(observation,non-judgment,and inaction)in the observation group were(26.37±4.85)points,(28.36±4.36)points,and(25.88±3.99)points,significantly lower than(24.16±5.02)points,(25.38±4.22)points,and(22.07±3.73)points
作者
蔺建苹
杨春香
刘小娟
闫茜
赵华
朱文静
王娜
卫攀
LIN Jian-ping;YANG Chun-xiang;LIU Xiao-juan;YAN Qian;ZHAO Hua;ZHU Wen-jing;WANG Na;WEI Pan(Department of Dermatology,the Second Affiliated Hospital of Air Force Military Medical University of Chinese People's Liberation Army,Xi'an 710038,Shaanxi,CHINA;Department of Nursing,the Second Affiliated Hospital of Air Force Military Medical University of Chinese People's Liberation Army,Xi'an 710038,Shaanxi,CHINA)
出处
《海南医学》
CAS
2022年第15期2030-2034,共5页
Hainan Medical Journal
基金
陕西省自然科学基础研究计划项目(编号:S2017-ZRJJ-MS-1323)。
关键词
银屑病
正念注意-接纳理论
心理干预
病耻感
心理状态
治疗依从性
Psoriasis
Mindful attention-acceptance theory
Psychological intervention
Disease of shame
Mental state
Treatment compliance
