正念减压疗法联合认知行为干预在产前焦虑患者中的应用

Application of Mindfulness Decompression Therapy Combined with Cognitive Behavior Intervention in Prenatal Anxiety Patients

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(2)
作者
作者单位

河南省商丘市中医院 ;

摘要
探究正念减压疗法联合认知行为干预在产前焦虑患者中的应用效果。方法 选取我院2017年5月~2019年2月产前焦虑患者94例,根据入院顺序分组,各47例。对照组给予常规护理,观察组于对照组基础上给予正念减压疗法联合认知行为干预。对比两组护理满意度、产后出血量、新生儿阿氏评分、纯母乳喂养率及干预前后状态-特质焦虑量表(STAI)、焦虑自评量表(SAS)、应对方式问卷(TCSQ)、简化版分娩自我效能量表(CBSEI-C32)评分。结果 干预后观察组STAI、SAS评分较对照组低(P<0.05);干预后观察组积极应对评分高于对照组,消极应对评分低于对照组(P<0.05);干预后观察组结果期望、自我效能期望评分及总分高于对照组(P<0.05);观察组产后出血量对照组低,新生儿阿氏评分、纯母乳喂养率较对照组高(P<0.05);观察组护理满意度93.62%较对照组74.47%高(P<0.05)。结论 正念减压疗法联合认知行为干预应用于产前焦虑患者,可降低焦虑程度,改变应对方式,改善分娩结局,提高自我效能水平及护理满意度。
Abstract
Objective: To explore the effect of mindfulness decompression therapy combined with cognitive behavioral intervention in prenatal anxiety patients. Methods: From May 2017 to February 2019, 94 cases of prenatal anxiety patients in our hospital were selected and grouped into 47 cases each according to the order of admission. The control group was given routine nursing, while the observation group was given mindfulness decompression therapy combined with cognitive behavioral intervention on the basis of the control group. Nursing satisfaction, postpartum hemorrhage, newborn Alberts score, exclusive breastfeeding rate, State-Trait Anxiety Scale (STAI), self-rating anxiety scale (SAS), coping style questionnaire (TCSQ) and simplified delivery self-efficacy scale (CBSEI-C32) were compared between the two groups. Results: After intervention, the STAI and SAS scores of the observation group were lower than that of the control group (P < 0.05); after intervention, the positive coping score of the observation group was higher than that of the control group, while the negative coping score was lower than that of the control group (P < 0.05); after intervention, the results expectation, self-efficacy expectation score and total score of the observation group were higher than that of the control group (P < 0.05); the amount of postpartum hemorrhage of the observation group was lower than that of the control The feeding rate was higher in the observation group than in the control group (P < 0.05), and the nursing satisfaction rate in the observation group was 93.62% higher than 74.47% in the control group (P < 0.05). Conclusion: Mindfulness decompression therapy combined with cognitive behavioral intervention in prenatal anxiety patients can reduce anxiety, change coping styles, improve delivery outcomes, and improve self-efficacy and nursing satisfaction.
关键词
正念减压疗法;认知行为干预;产前焦虑
KeyWord
Mindfulness Decompression Therapy; Cognitive Behavioral Intervention; Prenatal Anxiety
基金项目
页码 351-354
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李雪芹*. 正念减压疗法联合认知行为干预在产前焦虑患者中的应用 [J]. 国际精神病学杂志. 2020; 47; (2). 351 - 354.

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