门诊胃食管反流病患者应用正念减压腹式呼吸训练的效果观察

doi:10.16460/j.issn1008-9969.2019.22.052

摘要/Abstract

摘要： 目的探讨正念减压腹式呼吸训练在门诊胃食管反流病患者中的应用效果。方法采用便利抽样法选择我院消化内科门诊就诊的胃食管反流病患者68例,予以正念减压腹式呼吸操训练3个月,比较干预前、干预4周末、8周末、12周末时68例患者的胃食管反流病症状、健康相关生活质量及焦虑抑郁状况。结果胃食管反流病患者在干预前、干预4周末、干预8周末、干预12周末胃食管反流病状况比较,差异具有统计学意义（F=11.837,P<0.001）;胃食管反流病患者在干预前、干预4周末、干预8周末、干预12周末焦虑抑郁得分比较,差异具有统计学意义（P<0.01）,随着干预时间的延长,胃食管反流病患者焦虑、抑郁得分降低。胃食管反流病患者在干预前、干预4周末、干预8周末、干预12周末健康相关生活质量得分比较,差异具有统计学意义（P<0.01）,随着干预时间的延长,健康相关生活质量得分提高。结论正念减压腹式呼吸训练能够缓解胃食管反流病患者症状,减轻其焦虑抑郁情绪,提高其生活质量。

关键词: 正念减压, 腹式呼吸训练, 胃食管反流病

Abstract: Objective To explore the effect of mindfulness-based stress reduction (MBSR) abdominal breathing training on gastroesophageal reflux disease (GERD) outpatients. Methods With convenient sampling, 68 GERD patients in gastroenterology outpatient in our hospital received MBSR abdominal breathing training for 3 months. Symptoms of GERD, health-related quality of life, anxiety and depression of the patients before the intervention, and 4, 8, and 12 weeks after the intervention were compared. Results There was statistical significance regarding to GERD before the intervention, and 4, 8, and 12 weeks after the intervention (F=11.837, P<0.001). The score of health-related quality of life, anxiety and depression indicated statistical significance before the intervention, and 4, 8, and 12 weeks after the intervention (P<0.01) and with the prolonging of the intervention, the score of health-related quality of life improved while that of anxiety and depression reduced. Conclusion MBSR abdominal breathing training is effective for improving the symptoms of GERD, anxiety and depression and consequently improving patients' quality of life.

Key words: mindfulness-based stress reduction, abdominal breathing training, gastroesophageal reflux disease

中图分类号:

R473.57

高莹, 吴玉娥, 张建荣, 陈淑玲, 崔鑫浩, 杨蕾. 门诊胃食管反流病患者应用正念减压腹式呼吸训练的效果观察[J]. 护理学报, 2019, 26(22): 52-56.

GAO Ying, WU Yu-e, ZHANG Jian-rong, CHEN Shu-ling, CUI Xin-hao, YANG Lei. Effect of Mindfulness-based Stress Reduction Abdominal Breathing Training on Gastroesophageal Reflux Disease Outpatients[J]. Journal of Nursing, 2019, 26(22): 52-56.

参考文献

[1] 中华医学会消化病学分会. 2014年中国胃食管反流病专家共识意见[J].中华消化杂志,2014,34(10):649-661.DOI:10.3760/cma.j.issn.1671-7368.2015.05.002.
[2] Fock K M, Tally N, Moayyedi P,et al.Asia-pacific Consen-Sus on the Managemengt of Gastroesophageal Reflux Disease: Update[J].Gastroenterol Hepatol,2008,23(3):8-22.
[3] 查倩倩,钮美娥,赵媛媛,等.胃食管反流病患者进行呼吸训练的研究进展[J].中华护理杂志,2018,53(10):1259-1263.DOI:10.3761/j.issn.0254-1769.2018.10.019.
[4] 魏利娟,马亚飞,伍军,等. 吸气肌训练对食管癌根治术后患者心肺功能及生活质量的影响[J].中华物理医学与康复杂志, 2015, 37(1):1-44.DOI:10.3760/cma.j.issn.0254-1424.2017.07.015.
[5] 丁桂丽. 强化健康教育对胃食管反流病患者生活质量的影响[J].齐鲁护理杂志,2014,20(15):25-27.DOI:10.3969/j.issn.1006-7256.2014.15.012.
[6] Raymond J M, Marquis P, Bechade D, et al.Assessment of Quality of Life of Patients with Gastroesophageal Reflux. Elaboration and Validation of a Specific Questionnaire[J].Gastroenterol ClinBiol,1999,23(1):32-39.
[7] 周丽丽,魏良洲.幽门螺旋杆菌感染与反流性食管炎关系的研究[J].广州医药,2016,47(1):46-48.DOI:10.3969/j.issn.1000-8535.2016.01.0016.
[8] 赵建英. 正念减压法对妇科恶性肿瘤患者癌因性疲乏及焦虑水平的影响[J].护士进修杂志,2013,28(21):1989-1991.
[9] 刘熠,欧阳艳琼,黄毅,等.正念减压疗法对乳腺癌患者干预效果的Meta分析[J].护理学报,2019, 26(8):31-36.DOI:10.16460/j.issn1008-9969.2019.08.031.
[10] 赵迎盼,廖宇,钟家珮,等.胃食管反流病问卷(GerdQ)与反流性疾病问卷(RDQ)的比较研究[J].胃肠病学和肝病学杂志, 2015, 24(5):572-574. DOI:10.3969/j.issn.1006-5709.2015.05.025.
[11] 王曼,高峰.胃食管反流病问卷在诊断胃食管反流病中的应用[J].胃肠病学,2015,20(7):439-441.DOI:10.3969/j.issn.1008-7125.2015.07.014.
[12] Chan Y, Ching J Y, Cheung C M, et al.Development and Validation of a Disease-specific Quality of Life Questionnaire for Gastro-oesophageal Reflux Disease: The GERD-QOL Questionnaire[J].Aliment Pharmacol Ther,2010,31(3):452-460.DOI:10.1111/j.1365-2036.2009.04187.x.Epub 2009 Oct 31.
[13] 官小莉,汪晖.胃食管反流病患者生存质量测评量表的研究进展[J].中华护理杂志,2015,50(1):97-101.DOI:10.3761/j.issn.0254-1769.2015.01.023.
[14] 段泉泉,袁胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志. 2012, 26(9):676-679.DOI:10.3969/j.issn.1000-6729.2012.09.007.
[15] 张文皓,吴振彪,王晶,等.396例系统性红斑狼疮患者心理弹性及影响因素分析[J].护理学报,2018,25(7):36-41.DOI:10.16460/j.issn1008-9969.2018.07.036.
[16] 彭易,王岚,邹静,等.自我管理干预对胃食管反流病患者健康影响的系统评价[J].解放军护理杂志,2017,34(21):11-15.DIO:10.3969/j.jssn.1008-9993.2017.21.03.
[17] Iwakiri K, Kinoshita Y, Habu Y, et al.Evidence-based Clinical Practice Guidelines for Gastroesophageal Reflux Disease 2015[J]. J Gastroenterol,2016,51(8):751-767.DOI:10.1007/s00535-016-1227-8.
[18] Eherer A J, Netolitzky F, Hogenauer C, et al.Positive Effect of Abdominal Breathing Exercise on Gastroesophageal Reflux Disease:A Randomized Controlled Study[J]. Am J Gastroenterol,2012, 107(3):372-378.DOI:10.1038/ajg.2011.420.
[19] 赵威. 膈肌生物反馈训练对反流性食管炎维持治疗疗效研究及机制探讨[D].北京:北京协和医学院,2010.
[20] 吴玲玲,林征,林琳,等.经皮神经电刺激治疗对胃食管反流病病人临床症状改善及生活质量的影响[J].护理研究,2015, 29(11A):3868-3871.DOI:10.3969/j.issn.1009-6493.2015.31.008.
[21] Niaz S K, Quraishy M S, Taj M A, et al.Guidelines on Gastroesophageal Reflux Disease[J]. J Pak Med Assoc,2015,65(5):532-541.
[22] Peura D A, Pilmer B, Hunt B, et al.Distingushing the Impact of Dexlansoprazole on Heart Burn Vs.Regurgitation in Patients with Gastroesophageal Reflux Disease[J]. Aliment Pharm Ther,2013,38(10):1303-1311.DOI:10.1111/apt.12504.
[23] 黄小帅,邹建,杨美芳.正念减压疗法对脑卒中后抑郁患者焦虑抑郁水平的影响[J].护理学报,2017,24(7):62-64.DOI:10.16460/j.issn1008-9969.2017.07.062.

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