将基于正念的虚拟压力减轻集成到炎症性肠道疾病护理中:混合方法可行性试验
Kaitlyn Delaney Chappell1, Diana Meakins2, Melanie Marsh-Joyal3
1Division of Gastroenterology, Department of Medicine, University of Alberta, Edmonton, AB, Canada.
基于正念的虚拟减轻压力 (v-MBSR) 显示出减轻炎症性肠病 (IBD) 患者焦虑和抑郁的潜力. 虽然可以接受和可持续,但对v-MBSR的时间承诺可能会成为一些IBD个体的障碍.
科学领域:
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
- 数字健康数字健康
背景情况:
- 炎症性肠病 (IBD) 患者患有身体症状和心理困扰,通常伴有未经治疗的焦虑和抑郁症.
- IBD的循环性质加剧了身体和精神健康的挑战.
研究的目的:
- 评估基于正念的虚拟压力减轻 (v-MBSR) 计划对IBD成年人的可行性,可接受性和有效性.
- 评估v-MBSR对IBD患者焦虑,抑郁,生活质量和正念的影响.
主要方法:
- 通过视频会议向报告焦虑或抑郁症的IBD患者提供了为期8周的基于正念的虚拟压力减轻 (v-MBSR) 干预.
- 可行性通过吸收,坚持,出席和磨损来衡量;效力通过焦虑,抑郁,生活质量 (QoL) 和正念得分在基线,干预后和6个月后续.
- 进行了半结构面试,以评估参与者的经验和接受度.
主要成果:
- 25%的转诊IBD患者参与;43.8%完成了v-MBSR计划.
- 参与者表现出焦虑和抑郁的减少,以及与健康相关的 QoL 的增加,在 6 个月的随访中持续获得好处.
- 患者报告说,他们提高了应对策略和疾病管理技能.
结论:
- 基于虚拟正念的压力减轻 (v-MBSR) 是IBD患者的可行和可接受的干预措施,证明了心理健康和QOL的可持续改善.
- 对于一些IBD患者来说,v-MBSR的时间强度可能会限制参与.
- 需要进一步的研究来确定最能从v-MBSR中受益的IBD患者子组.
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