比较正念减压训练和鲍威尔认知康复训练对改善脑卒中患者生活质量的效果

Fatemeh Shojaei, F. Shahabizadeh, Seyyed Mouhammad Mousavi Mirzaei, Mohammad Dehghanifiroozabadi, A. Esmaeili
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摘要

背景:脑卒中是一种由中枢血管引起的神经系统疾病。中风会影响患者的日常活动能力和生活质量(QoL)。研究表明,由于认知和情感受损,中风患者的生活质量会下降。研究目的本研究比较了基于减压的正念训练和鲍威尔认知康复这两种团体方法对改善脑卒中患者生活质量的影响。方法:半实验研究:这项半实验性研究采用了前测-后测设计,设有对照组和随访期。样本包括以有针对性的简单随机方式选出的 36 名符合条件的脑卒中患者。患者被分为两个干预组和一个对照组。使用的工具包括人口统计学信息问卷和中风特异性 QoL(SS-QOL)量表。数据采用 SPSS 软件(26 版)进行分析。在显著性水平为 P 0.05 时,采用了卡方检验、重复测量方差分析和 Bonferroni 统计检验。)正念干预对生活质量的平均影响更大。尽管如此,从统计学角度来看,所有干预措施都不能有效改善生活质量(P > 0.05),正念方法和认知康复对改善生活质量的效果没有显著差异(P > 0.05)。结论正念训练能提高与注意力相关的行为反应,而注意力是所有认知活动的基础。此外,正念练习还能提高认知技能,并通过影响认知系统,提高信息处理系统的容量和能力,改善生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparing the Effectiveness of Mindfulness-based Stress Reduction Training and Powell’s Cognitive Rehabilitation on Improving the Quality of Life of Stroke Patients
Background: Stroke is a type of neurological disorder that can be attributed to a central vascular cause. Stroke can affect the patient’s performance in daily activities and quality of life (QoL). Research indicates a decrease in the quality of life in stroke patients due to cognitive and emotional damage. Objectives: The present study compared the effect of two group approaches, mindfulness training based on stress reduction and Powell’s cognitive rehabilitation, on improving the quality of life of stroke patients. Methods: This semi-experimental study used a pretest-posttest design with a control group and a follow-up period. The sample consisted of 36 eligible stroke patients selected in a targeted and simple random manner. The patients were divided into two intervention groups and one control group. The tools used were a demographic information questionnaire and a Stroke-specific QoL (SS-QOL) scale. Data were analyzed with SPSS software (version. 26). Chi-square, repeated measures analysis of variance, and Bonferroni statistical tests were applied at a significance level of P 0.05). The mindfulness intervention had a higher effect on quality of life on average. Still, statistically, none of the interventions were effective in improving quality of life (P > 0.05), and there was no significant difference between the effect of mindfulness-based methods and cognitive rehabilitation on improving quality of life (P > 0.05). Conclusions: Mindfulness training increases behavioral responses related to attention as the basis of all cognitive activities. Also, mindfulness exercises improve cognitive skills and, by affecting the cognitive system, increase the capacity and ability of the information processing system and improve the quality of life.
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