正念减压辅助情绪管理对精神分裂症患者焦虑抑郁情绪及生存质量的影响

The Impact of Mindfulness-Based Stress Reduction (MBSR) Assisted Emotional Management on Anxiety, Depression, and Quality of Life in Patients with Schizophrenia

摘要: 目的：探讨正念减压法(MBSR)辅助情绪管理对精神分裂症患者焦虑抑郁情绪及生存质量的影响。方法：选取2022年3月~2023年10月在宁夏自治区宁安医院就诊的150例精神分裂症患者伴焦虑抑郁症状作为研究对象，采用随机分组分为对照组75例和观察组75例。对照组患者在抗精神药物治疗的同时，给予常规的健康宣教；观察组患者在对照组干预的基础上，使用MBSR及情绪管理应对其焦虑抑郁情绪。比较两组患者入院时及治疗第8周时的汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)及生存质量问卷(IBDQ)评分。结果：入院时，两组患者HAMA、HAMD和IBDQ评分差异无统计学意义(P > 0.05)。治疗第8周，观察组患者的HAMA、HAMD评分低于入院时，IBDQ评分高于入院时，差异有统计学意义(P < 0.05)；且第8周观察组患者的HAMA、HAMD评分低于对照组，IBDQ评分高于对照组，差异有统计学意义(P < 0.05)。结论：精神分裂症患者的心理健康状况通过MBSR辅助情绪管理是能够提高的，进而提高了其社会适应和生存质量。

Abstract: Objective: To explore the impact of Mindfulness-Based Stress Reduction (MBSR) assisted emotional management on anxiety, depression, and quality of life in patients with schizophrenia. Methods: A total of 150 patients with schizophrenia accompanied by symptoms of anxiety and depression who visited Ning’an Hospital in Ningxia Autonomous Region from March 2022 to October 2023 were selected as the research subjects. They were randomly divided into a control group 75 cases and an observation group 75 cases. Patients in the control group received routine health education while undergoing antipsychotic drug treatment; patients in the observation group, in addition to the intervention in the control group, received MBSR and emotional management to cope with their anxiety and depression. The Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), and Inflammatory Bowel Disease Questionnaire (IBDQ) scores of the two groups were compared at admission and at the 8^th week of treatment. Results: At admission, there was no statistically significant difference in HAMA, HAMD, and IBDQ scores between the two groups (P > 0.05). At the 8^th week of treatment, the HAMA and HAMD scores of the observation group were lower than those at admission, and the IBDQ score was higher than that at admission, with significant differences (P < 0.05). Moreover, at the 8^th week, the HAMA and HAMD scores of the observation group were lower than those of the control group, and the IBDQ score was higher than that of the control group, with significant differences (P < 0.05). Conclusion: The mental health of patients with schizophrenia can be improved through MBSR-assisted emotional management, thereby enhancing their social adaptation and quality of life.