正念减压疗法对神经源性膀胱行清洁间歇性导尿患者治疗接受度和心理状态的影响

目的:探讨正念减压疗法对神经源性膀胱行清洁间歇性导尿患者治疗接受度和心理状态的影响。方法:选取2017年1月1日~2019年12月31日神经源性膀胱行清洁间歇性导尿治疗患者100例为研究对象,随机分为对照组和观察组各50例;对照组接受常规心理护理,观察组接受正念减压疗法,两组均从接受导尿治疗后第3天开始干预治疗;比较两组干预前和干预1个月后患者对清洁间歇性导尿治疗的接受度采用间歇性导尿接受度量表(I-CAT)]和心理状态采用正性情绪负性情绪量表(PANAS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)]。结果:干预后,两组I-CAT评分均低于干预前(P<0.05),且观察组低于对照组(P<0.05);干预后,两组PANAS评分中正性情绪因子评分均高于干预前(P<0.05),且观察组高于对照组(P<0.05);干预后,两组PANAS评分中负性情绪因子评分及SAS评分、SDS评分均低于干预前(P<0.05),且观察组低于对照组(P<0.05)。结论:与常规心理护理比较,正念减压疗法能够提高患者清洁间歇性导尿治疗接受度,改善患者心理状态。

Effect of Mindfulness-Based Stress Reduction on the Acceptability and Psychological Status of Intermittent Clean Catheterization in Patients with Neurogenic Bladder

Objective:To explore the effect of mindfulness-reduction stress reduction(MBSR)on the acceptability and psychological status of intermittent clean catheterization in patients with neurogenic bladder.Methods:A total of 100 inpatients with neurogenic bladder who received intermittent clean catheterization treatment were selected from January 1,2017 to December 31,2019.They were randomly divided into the control group and the observation group with 50 cases in each group.The control group received routine psychological care,while the observation group received mindfulness-based stress reduction.All the patients were given intervention treatment from the 3rd day after receiving catheterization.Comparison was made on their acceptability and psychological status before and after 1 month of the intervention treatmentwith intermittent catheterization acceptance scale(I-CAT)]and psychological statewith positive emotions negative scale(PANAS),self-evaluation of anxiety scale(SAS),depression self rating scale(SDS)].Results:After the intervention,the I-CAT scores in the two group were lower than those before intervention(P<0.05),and those in the observation group were lower than those in the control group(P<0.05).After the intervention,the emotional factor scores of PANAS scores were higher in the two groups than those before(P<0.05),and higher in the observation group than those in the control group(P<0.05).After the intervention,the negative emotional factor scores of PANAS scores and SAS scores and SDS scores were lower in the two groups than those before intervention(P<0.05),and those in the observation group were lower than those in the control group(P<0.05).Conclusion:Compared with conventional psychological care,MBSR can enhance patients′acceptance of intermittent clean catheterization and improve their psychological state.