運用正念認知治療（MBCT）改善精神科日間病房病人心理健康狀態成效探討

Effectiveness of Mindfulness-Based Cognitive Therapy in Improving the Health Status of Psychiatric Day Ward Patients

10.6142/VGHN.202406_41(2).0002

李秀如(Hsiu-Ju Lee)；林怡君(Yi-Chun Lin)；孫佩萍(Pen-Ping Suen)；陳淑瓊(Shu-Chiung Chen)

正念認知治療 ； 健康狀態 ； 精神科日間病房 ； mindfulness-based cognitive therapy ； health status ； psychiatric day ward

榮總護理

41卷2期（2024 / 06 / 01）

108 - 118

繁體中文;英文

運用正念認知治療察覺自己對壓力情境的不合理想法及感受，學習接納及接受現實情境，對調適情緒、減少焦慮及心理健康疾病，具有顯著正向成效。本研究目的在了解精神科日間病房病人之健康狀態及運用正念認知治療（MBCT）當做輔助治療方法的成效。以實驗性研究設計，採方便取樣，研究對象為北部某醫學中心精神科日間病房住院病人，有效收案數共59人（實驗組30人、對照組29人），研究對象需自填個人基本資料、病人健康狀況問卷（PHQ-9）、廣泛性焦慮量表（GAD-7）以及睡眠困擾（ISI-C）等問卷，結果發現精神科日間病人有21人（35.59%）存在憂鬱情緒、有32人（54.20%）存在不同程度的焦慮情緒，且約有29人（49.20%）感受到有失眠的困擾，經過八週的正念認知治療團體後，病人之健康狀況、焦慮及睡眠狀況平均值有改善，但實驗組與對照組之間未達統計上顯著差異，建議臨床實務中可以個別性或團體治療方式將正念認知治療融入慢性精神復健計畫中，豐富復健內容，提升慢性精神病人自我覺察能力並追蹤成效。

Emotions can be positively regulated through the use of mindfulness-based cognitive therapy (MBCT) to detect unhealthy thoughts and feelings about stressful situations and to promote acceptance of the reality of such situations, thereby alleviating anxiety and other mental health problems. This experimental study explored the effectiveness of using MBCT as an adjunctive therapy in a psychiatric day ward rehabilitation program to improve patients' health status and sleep quality and mitigate their anxiety. Using convenience sampling, we recruited 59 patients from the psychiatric day ward of a northern medical center. Data were collected using a basic personal information questionnaire, Patient Health Questionnaire-9, the Generalized Anxiety Disorder 7-Item tool, and the Insomnia Severity Index-Chinese Version. The results revealed that among the 59 patients, 21 (35.59%) were depressed, 32 (54.20%) had anxiety to some degree, and 29 (49.20%) experienced insomnia despite using sleeping aids. After 8 weeks of MBCT, the patients' average health status and sleep quality had improved, and their anxiety levels had reduced; however, the differences were nonsignificant. In summary, we recommend the integration of MBCT into rehabilitation programs through individual or group therapy to enrich rehabilitation content in clinical practice and to improve the self-awareness of patients with chronic mental illnesses.

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