首页|正念减压疗法对永久性肠造口患者主要照顾者照顾负担的效果

正念减压疗法对永久性肠造口患者主要照顾者照顾负担的效果

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目的 探讨正念减压疗法对永久性肠造口患者主要照顾者心理韧性、照顾负担的影响.方法 采用便利抽样法,选取2021年3月至2022年12月于上海市某三级甲等医院行永久性肠造口术患者的主要照顾者380名为研究对象,随机分为对照组及观察组,每组各190例.对照组给予常规护理干预,观察组在此基础上实施为期4周的正念减压疗法干预.采用心理韧性量表和Zarit照顾负担量表比较两组患者干预前后的心理弹性和照顾负担水平.结果 干预4周后,观察组心理韧性各维度得分均高于对照组,差异有统计学意义(P<0.05);观察组照顾者照顾负担各维度得分均低于对照组,差异有统计学意义(P<0.05).结论 正念减压疗法可以有效提高永久性肠造口患者主要照顾者的心理韧性水平,调节其不健康的心理倾向,降低照顾负担.
Effect of Mindfulness-based Stress Reduction Therapy on Care Burden of Primary Caregivers of Pa-tients Undergoing Permanent Enterostomy
Objective To explore the effect of mindfulness-based stress reduction therapy on resilience and care burden of primary caregivers of patients undergoing permanent enterostomy.Methods A total of 380 primary caregivers were selected by convenience sampling who cared for patients undergoing permanent enterostomy in a Grade Ⅲ-A hospital in Shanghai from March 2021 to December 2022.They were randomly divided into the control group(n=190)and the observation group(n=190).The control group was given routine nursing intervention,while the observation group was given a 4-week mindfulness-based stress reduction intervention.The resilience and care burden pre-and post-intervention were compared between the two groups based on the Resilience Scale and Zarit Burden Interview.Results After 4 weeks of intervention,the scores of all dimensions of the Resilience Scale in the observation group were significantly higher than those in the control group(P<0.05);the scores of all dimensions of the Zarit Burden Interview in the observation group were significantly lower than those in the control group(P<0.05).Conclusion Mindfulness-based stress reduction therapy can enhance the resilience level of primary caregivers of patients undergoing permanent enterostomy,regulate their unhealthy psychological tendencies and reduce their care burden.

Mindfulness-based stress reductionPermanent enterostomyPrimary caregiverResilienceCare burden

马丽英、顾慧可、张丹妮、陈敏

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上海交通大学医学院附属仁济医院,上海 200127

正念减压 永久性肠造口 主要照顾者 心理韧性 照顾负担

2021年上海交通大学医学院护理科研重点项目

Jyhz2123

2024

上海护理
上海市护理学会

上海护理

影响因子:1.097
ISSN:1009-8399
年,卷(期):2024.24(2)
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