摘要

【摘要】
目的 探讨正念减压训练对手部先天性畸形患儿照顾者心理弹性及焦虑、抑郁情绪的影响。

方法 选取本院2024年1月至2025年1月收治的手部先天性畸形患儿的照顾者98例，按随机数表法分观察组、对照组，各49例。对照组予以常规干预，观察组在对照组基础上联合正念减压训练。评估并比较两组心理弹性简化量表（Connor-Davidson Resilience Scale，CD-RISC）评分，另外评估其焦虑自评量表（Self-Rating Anxiety Scale，SAS）、抑郁自评量表（Self-rating depression scale，SDS）评分。

结果 两组干预后CD-RISC评分高于干预前，差异有统计学意义（P＜0.05），观察组干预后CD-RISC评分高于对照组（P＜0.05），差异有统计学意义；两组干预后SDS、SAS评分低于干预前，差异有统计学意义（P＜0.05），观察组干预后SDS、SAS评分低于对照组，差异有统计学意义（P＜0.05）。

结论 正念减压训练用于手部先天性畸形患儿照顾者可改善照顾者心理弹性及焦虑、抑郁情绪。

关键词：【关键词】正念减压训练；手部先天性畸形；照顾者；心理弹性；焦虑；抑郁

ABSTRACT

【Abstract】
Objective To explore the influence of mindfulness-based stress reduction training on the psychological resilience, anxiety and depression of caregivers of children with congenital hand malformations.

Methods A total of 98 caregivers of children with congenital hand malformations admitted to our hospital from January 2024 to January 2025 were selected and divided into the observation group and the control group according to the random number table method, with 49 cases in each group. The control group was given conventional intervention, while the observation group was combined with mindfulness-based stress reduction training on the basis of the control group. Evaluate and compare the scores of the Connor-Davidson Resilience Scale (CD-RISC) in the two groups, and also evaluate their Self-Rating Anxiety Scale. Scores of SAS and Self-rating depression scale (SDS).

Results The CD-RISC scores of the two groups after the intervention were higher than those before the intervention, and the difference was statistically significant (P < 0.05). The CD-RISC score of the observation group after the intervention was higher than that of the control group (P < 0.05), and the difference was statistically significant. The SDS and SAS scores of the two groups after the intervention were lower than those before the intervention, and the difference was statistically significant (P < 0.05). The SDS and SAS scores of the observation group after the intervention were lower than those of the control group, and the difference was statistically significant (P < 0.05).

Conclusion   Mindfulness-based stress reduction training for caregivers of children with congenital hand malformations can improve the psychological resilience and anxiety and depression of the patients.

Key words: 【 Key Words 】 Mindfulness-based Stress Reduction Training;Congenital deformity of the hand;Caregiver; Psychological resilience; Anxiety ; Depression