The effect of mindfulness training on psychological intervention in patients with cervical insufficiency

Li Yanting; Zhao Cuiping; Zhao Fanghui

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The effect of mindfulness training on psychological intervention in patients with cervical insufficiency

更新时间：2022-11-04

- The effect of mindfulness training on psychological intervention in patients with cervical insufficiency
- Health Medicine Research and Practice Vol. 19, Issue 6, Pages: 113-116(2022)
- 作者机构：
  
  郑州大学第三附属医院产六科
- 作者简介：
- 基金信息：
- DOI：
  CLC： R473.73
- Published：2022，
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Li Yanting, Zhao Cuiping, Zhao Fanghui. The effect of mindfulness training on psychological intervention in patients with cervical insufficiency. [J]. Health Medicine Research and Practice 19(6):113-116(2022)
DOI：

Li Yanting, Zhao Cuiping, Zhao Fanghui. The effect of mindfulness training on psychological intervention in patients with cervical insufficiency. [J]. Health Medicine Research and Practice 19(6):113-116(2022) DOI：

摘要

目的探讨正念训练应用于宫颈机能不全患者心理干预中的效果。方法本研究选取2018年9月—2021年1月河南省某医院收治的109例孕期宫颈机能不全行择期宫颈环扎术患者为研究对象。采用随机数字表法将患者分为对照组(n=54)和观察组(n=55)。对照组患者予以常规心理干预。观察组患者在对照组护理基础上进行正念训练。比较2组患者干预前及干预后(出院时)自我效能感量表(GSES)、希望量表(ADHS)、沃里克-爱丁堡积极心理健康量表(WEMWBS)、正负性情感量表(PANAS)及应对方式调查问卷(MCMQ)评分。结果干预前

2组患者GSES、ADHS、WEMWBS、PANAS-P、PANAS-N及MCMQ中回避、面对、屈服维度评分比较

差异无统计学意义(P>0.05)。干预后

2组患者GSES、ADHS、WEMWBS、PANAS-P及MCMQ中面对维度评分均高于干预前

且观察组高于对照组

差异均有统计学意义(P<0.05)。同时

干预后

2组患者PANAS-N及MCMQ中回避、屈服维度评分均低于干预前

且观察组低于对照组

差异均有统计学意义(P<0.05)。结论正念训练应用于行宫颈环扎术的宫颈机能不全患者心理干预中

可增强患者自我效能感

提高患者心理健康水平

改善患者应对方式

效果显著

值得推广应用。

Abstract

Objective To explore the effect of mindfulness training on psychological intervention in patients with cervical insufficiency. Methods A total of 109 patients receiving elective cervical cerclage for cervical insufficiency during pregnancy admitted to a hospital in Henan Province from September 2018 to January 2021 were selected as subjects. They were assigned to a control group（n=54） and an observation group（n=55） using the random number table method. Patients in the control group received conventional psychological interventions. Patients in the observation group received mindfulness training in addition to the conventional psychological interventions. The General Self Efficacy Scale（GSES） scores at pre-intervention and post-intervention（at discharge）

Adult Dispositional Hope Scale（ADHS）

Warwick-Edinburgh Mental Wellbeing Scale（WEMWBS）

Positive and Negative Affect Schedule（PANAS） and Medical Coping Modes Questionnaire（MCMQ） scores were compared between the two groups. Results Before the intervention

there was no statistically significant difference in the scores of avoidance

coping and submission dimensions in GSES

ADHS

WEMWBS

PANAS-P

PANASN and MCMQ between the 2 groups of patients（P>0.05）. After the intervention

the scores of GSES

ADHS

WEMWBS

PANAS-P and MCMQ in the coping dimension were higher in the 2 groups than before the intervention

with the observation group higher than the control group

and the differences were statistically significant（P<0.05）. Meanwhile

the scores of PANAS-N and MCMQ in the avoidance and submission dimensions were lower than those before the intervention in both groups

with the observation group lower than the control group

and the differences were statistically significant（P<0.05）. Conclusion The use of mindfulness training on psychological interventions in patients with cervical insufficiency undergoing cervical cerclage can enhance patients’ self-efficacy

improve their mental health and coping modes

demonstrating marked effects. These benefits justify a wider application of this training.

关键词

自助式正念训练宫颈机能不全心理干预自我效能应对方式

Keywords

Self-help mindfulness trainingCervical insufficiencypsychological interventionSelf-efficacyCoping modes

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