[1]徐穗莲,常鑫,何奕涛.基于正念减压法的心理干预对急性脑梗死合并高血压患者的影响[J].西部中医药,2020,33(06):122-125.[doi:10.12174/j.issn.1004-6852.2020.06.33]
　XU Suilian,CHANG Xin,HE Yitao.The Effects of Psychological Intervention Based on Mindfulness-based Stress Reduction on Acute Cerebral Infarction Complicated with Hypertension[J].Western Journal of Traditional Chinese Medicine,2020,33(06):122-125.[doi:10.12174/j.issn.1004-6852.2020.06.33]
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基于正念减压法的心理干预对急性脑梗死合并高血压患者的影响
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
33
期数:
2020年06期
页码:
122-125
栏目:
出版日期:
2020-06-15

文章信息/Info

Title:
The Effects of Psychological Intervention Based on Mindfulness-based Stress Reduction on Acute Cerebral Infarction Complicated with Hypertension
文章编号:
1004-6852(2020)06-0122-04
作者:
徐穗莲，常鑫，何奕涛
1 深圳市人民医院，广东 深圳 518020； 2 暨南大学第二临床医学院
Author(s):
XU Suilian1，2' target="_blank" rel="external">2, CHANG Xin1，2' target="_blank" rel="external">2, HE Yitao1，2' target="_blank" rel="external">2△
1 Shenzhen People′s Hospital, Shenzhen 518020, China; 2 Second Clinical Medical College of Jinan University
关键词:
脑梗死; 急性; 高血压; 正念减压法; 心理干预; 焦虑抑郁
Keywords:
cerebral infarction;  acute;  hypertension;  mindfulness-based stress reduction; psychological intervention;  anxiety and depression
分类号:
R255.2
DOI:
10.12174/j.issn.1004-6852.2020.06.33
文献标志码:
B
摘要:
目的：探讨基于正念减压法的心理干预对急性脑梗死合并高血压患者的影响。方法：将100例患者随机分为两组，每组50例，对照给予常规脑梗死护理治疗，观察组在此基础上给予基于正念减压法的心理干预，干预3周后比较两组24 h平均血压、平均动脉压、晨峰血压值，同时比较两组美国国立卫生院卒中量表(national institutes of health stroke scale，NIHSS)、改良的PanKin量表(modified rancin scale，mRS)、运动功能评定量表(Fugl-Meyer)评分及日常生活活动能力量表(barthel index，BI)指数、汉密顿抑郁量表评分、五因素正念度量表评分。结果：晨峰血压值、24 h平均收缩压(24hSBP)、24 h平均舒张压(24hDBP)、24 h平均动脉压(24hMAP)干预前两组比较，差异无统计学意义(P＞0.05)；干预后观察组均较对照组降低明显，差异有统计学意义(P＜0.05)。干预后，NIHSS评分观察组低于对照组，Barthe指数、Fugl-Meyer评分观察组高于对照组，差异均有统计学意义(P＜0.05)。干预后，焦虑自评量表评分(self rating anxiety scale，SAS)、汉密顿抑郁量表(hamilton depression scale，HAMD)评分观察组均低于对照组，FFQM评分观察组高于对照组，差异均有统计学意义(P＜0.05)。结论：基于正念减压法的心理干预能降低急性脑梗死患者的血压，同时有利于患者卒中后肢体康复和改善患者焦虑、抑郁情绪以及正念水平。
Abstract:
Objective: To explore the effects of psychological intervention based on mindfulness-based stress reduction (MBSR) on acute cerebral infarction (ACI) complicated with hypertension. Methods: A total of 100 patients were randomly allocated to two groups, 50 cases each group, the control group accepted conventional nursing of ACI, and the observation group psychological intervention based on MBSR on the foundation of conventional nursing, to compare 24 hours mean blood pressure, average arterial pressure and morning blood pressure peak between both groups three weeks after the intervention, simultaneously, to compare NIHSS, mRS, Fugl-Meyer score, BI, Hamilton depression scale and FFMQ between both groups. Results: The difference had no statistical meaning in morning blood pressure peak, 24hSBP, 24hDBP and 24MAP between both groups before the intervention (P＞0.05); after the intervention, the decrease of the observation group was more notable than that of the control group, and the difference had statistical meaning (P＜0.05). After the intervention, NIHSS scores of the observation group were lower than these of the control group, BI and Fugl-Meyer scores of the observation group were higher than these of the control group, and the difference showed statistical meaning (P＜0.05). After the intervention, SAS and HAMD scores of the observation group were lower than these of the control group, FFQM scores of the observation group were higher than these of the control group, and the difference had statistical meaning (P＜0.05). Conclusion: Psychological intervention based on MBSR could lower blood pressure of ACI patients, simultaneously, it could help limb recovery after stroke and improve anxiety, depression and the levels of mindfulness.

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备注/Memo

备注/Memo:
收稿日期：2019-07-25*基金项目：2015年深圳市卫生与计划生育委员会课题(编号201501009)；2014年深圳市科技创新委员会课题(编号JCYJ20140416122812034)。作者简介：徐穗莲(1979—)，女，主管护师。研究方向：脑卒中临床护理。△通讯作者：何奕涛(1983—)，男，博士研究生，副主任医师。研究方向：脑梗死介入治疗与康复。
更新日期/Last Update: 2020-06-15