《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (9): 881-884.

• 临床研究 • 上一篇    下一篇

短期正念行为训练对髋部骨折固定术后老年患者心境状态及生活质量的影响

曹海涛1，张婉2   

  1. 1.唐山市第二医院创伤三科，河北唐山市063000；2.河北联合大学附属医院医务科，河北唐山市063000
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-09-25 发布日期:2014-09-25

Effects of Mindfulness Behavior Training on Mood States and Quality of Life in Old Patients post Fixation for Hip Fracture

CAO Hai-tao, ZHANG Wan.
  

  1. The Second Hospital of Tangshan, Tangshan, Hebei 063000, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-09-25 Online:2014-09-25

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摘要： 目的观察短期正念行为训练对髋部骨折固定术后老年患者心境状态及生活质量的影响。方法60 例髋部骨折固定术后老年患者随机分为对照组(n=30)和实验组(n=30)。对照组给予早期康复训练，实验组在此基础上给予正念行为训练。于治疗前和治疗5 周后，采用心境状态量表(POMS)、健康调查简表(SF-36)及正念注意觉知量表(MAAS)对患者进行评定。结果治疗前，两组患者POMS、SF-36 各维度以及MAAS评分无显著性差异(P>0.05)；治疗后，实验组正念水平，POMS的紧张-焦虑、忧郁-沮丧、疲惫-惰性、活力-好动评分及生活质量评分优于对照组(P<0.05)。结论正念行为训练可改善髋部骨折固定术后老年患者心境情绪状态，提高骨折术后老年患者生活质量。

关键词: [关键词] 骨折, 髋, 正念行为训练, 老年, 心境状态, 生活质量

Abstract: Objective To investigate the effects of mindfulness behavior training on mood states and quality of life in old patients post fixation for hip fracture. Methods Patients were randomly divided into experiment group (n=30) and control group (n=30). The control group received routine rehabilitation, while the experiment group received mindfulness practice therapy in addition. They were evaluated with Profile of Mood States (POMS), Short Form of Health Survey (SF-36), and Mindful Attention Awareness Scale (MAAS) before and 5 weeks after treatment. Results There was no difference in the scores of POMS, MAAS and SF-36 before treatment (P>0.05). The scores of MAAS and SF-36, the subscores of tension-anxiety, depression-dejection, fatigue-inertia and vigor-activity of POMS improved more in the experiment group than in the control group (P<0.05). Conclusion Mindfulness behavior training can improve the mood state and quality of life of old patients post fixation for hip fracture.

Key words: fracture, hip, mindfulness practice, old, mood states, quality of life