Effects of mindfulness cognitive behavioral training on self-perception burden and self-efficacy of patients with shoulder-hand syndrome after brain infarction
10.3760/cma.j.issn.1674-2907.2016.12.009
- VernacularTitle:正念认知行为训练对脑梗死肩手综合征患者自我感受负担及自我效能的影响
- Author:
Yaxia FAN
1
;
Zhengwei HAO
;
Hongyang WANG
Author Information
1. 063000 唐山，华北理工大学附属医院神经内科重症病房
- Keywords:
Brain infarction;
Shoulder-hand syndrome;
Self-efficacy;
Self-perceived burden;
Mindfulness cognitive behavioral training
- From:
Chinese Journal of Modern Nursing
2016;22(12):1664-1669
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of mindfulness cognitive behavioral training on self -perception burden and self-efficacy of patients with shoulder-hand syndrome ( SHS ) after brain infarction . Methods A total of 65 cases with SHS were randomly divided by coin-tossing into two groups:control group (n=32) and experimental group (n =33).Patients in control group received routine rehabilitation , while patients in experimental group were given mindfulness cognitive behavioral training for 6 weeks consecutively based on routine rehabilitation;both groups of patients were evaluated using Barthel index (BI), self-perceived burden scale ( SPB ) , general self-efficacy scale ( GSES ) , mindful attention awareness scale ( MAAS ) and quality of life short-form 36(SF-36) before and after 6 weeks of intervention.Results There was no significant difference in the scores of BI,SPB,GSES,MAAS and SF-36 between two groups before the intervention (P>0.05).After the intervention, scores of BI,GSES and MAAS in experimental group were (72.4 ±11.6), (7.3 ±1.3),(79.9 ±11.8) respectively,which all higher than that of control group significantly (t=3.38, 6.50,5.41;P<0.05), while the score of SPBS was (38.2 ±5.7) lower than that of control group (47.3 ± 6.6) significantly (t=5.72;P<0.05); The scores of SF-36 for each dimension of experimental group were higher than that of control group significantly (P<0.05).Furthermore, MAAS score was correlated positively with scores of general health , vitality, social function , emotional function , mental health in SF-36 with significant difference ( P<0.05 ) .Conclusions The cognitive behavioral training based on mindfulness can weaken the self-perceived burden and strengthen self-efficacy of patients with SHS after brain infarction greatly , so as to improve the life quality of patients .
