正念减压疗法对脊髓损伤患者睡眠质量和感知压力的影响。
Effects of mindfulness-based stress reduction therapy for sleep quality and perceived stress in patients with spinal cord injury.
机构信息
Department of rehabilitation medicine, Wuxi Central Rehabilitation Hospital, 214151, Wuxi, China.
Department of rehabilitation medicine, Wuxi Central Rehabilitation Hospital, 214151, Wuxi, China.
出版信息
Explore (NY). 2024 Sep-Oct;20(5):103037. doi: 10.1016/j.explore.2024.103037. Epub 2024 Aug 8.
OBJECTIVE
To explore the effect of the mindfulness-based stress reduction (MBSR) practice on sleep quality and perceived stress in patients with spinal cord injury (SCI).
METHOD
A total of 104 patients with SCI (diagnosed via imaging and clinical symptoms) admitted to our hospital between January 2020 and December 2022 were selected as the study participants. The patients were randomly divided into two groups: the MBSR (observation) group and the control group. The observation group received MBSR therapy and routine nursing, and the control group received music training therapy and routine nursing. The Pittsburgh Sleep Quality Index (PSQI) was used to evaluate sleep quality, and the perceived stress score was used to evaluate stress experienced by the patients at three timepoints: before intervention, 4 weeks and 8weeks after intervention.
RESULTS
Compared with before intervention, the PSQI scores of both the control group and intervention group participants significantly decreased after intervention(P < 0.01). Compared with the 4 weeks after intervention, the PSQI scores of both groups of participants decreased in the 8 weeks after intervention(P < 0.01). There was a significant difference in PSQI scores between the two groups of participants at 4 and 8 weeks after intervention(P < 0.01). Compared with before intervention, the average perceived stress score of both the control group and intervention group participants significantly decreased after intervention(P < 0.05). Compared with the 4 weeks after intervention, the average perceived stress score of both groups of participants decreased in the 8 weeks after intervention(P < 0.01). There was a significant difference in average perceived stress score between the two groups of participants at 4(P < 0.05) and 8 weeks(P < 0.01) after intervention(P < 0.01).
CONCLUSION
The use of MBSR therapy could effectively improve patient sleep quality and reduce perceived stress.
目的
探索正念减压（MBSR）练习对脊髓损伤（SCI）患者睡眠质量和感知压力的影响。
方法
选取 2020 年 1 月至 2022 年 12 月在我院住院的 104 例 SCI 患者为研究对象，采用随机数字表法分为 MBSR（观察组）组和对照组。观察组给予 MBSR 治疗和常规护理，对照组给予音乐训练治疗和常规护理。采用匹兹堡睡眠质量指数（PSQI）评估睡眠质量，采用感知压力评分评估患者在干预前、干预后 4 周和 8 周的压力。
结果
与干预前相比，观察组和对照组患者的 PSQI 评分在干预后均显著降低（P < 0.01）。与干预后 4 周相比，两组患者在干预后 8 周的 PSQI 评分均降低（P < 0.01）。两组患者在干预后 4 周和 8 周时的 PSQI 评分存在显著差异（P < 0.01）。与干预前相比，观察组和对照组患者的平均感知压力评分在干预后均显著降低（P < 0.05）。与干预后 4 周相比，两组患者在干预后 8 周的平均感知压力评分均降低（P < 0.01）。两组患者在干预后 4 周和 8 周时的平均感知压力评分存在显著差异（P < 0.05，P < 0.01）。
结论
MBSR 疗法可有效改善患者睡眠质量，减轻感知压力。
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