呼吸靜心活動介入慢性疼痛病患靈性照護之成效分析

Breath Meditation Applying to Chronic Pain Syndrome Patient''s Spiritual Care and Outcome Study

李秀琦(Hsiu-Chi Lee)

指導教授 ： 鍾燕宜

中臺科技大學/管理學院/健康產業管理研究所/碩士(2012年)

摘要

背景與目的：慢性疼痛病人，在長期疼痛症狀的影響下，造成身心不適及情緒低落，使得整體生活品質下降。這類病人即使有接受藥物治療，疼痛仍無法完全舒緩。本研究以呼吸靜心活動介入，探討慢性疼痛病人藉由靈性照護後之成效分析。
研究方法：研究對象為疼痛科門診病人，採立意取樣，以實驗法進行。最後有效樣本為53位，23位實驗組，30位控制組。實驗組病人接受八次呼吸靜心活動之指導，並在活動介入前後，以情緒量表(DSSS)、SF-36生活品質量表、簡易疼痛量表(BPI-S)、視覺疼痛量表(VAS)等量測工具進行施測，將所得資料加以編碼整理，利用SPSS 17.0進行資料分析。
結果：(1)實驗組在SF-36生活品質量表的前後測比較，在身體疼痛(BP)項目達到顯著差異。(2)實驗組與控制組在簡易疼痛量表，測量各種「疼痛程度」、「情緒」、「正常工作」、「與他人交往」、「睡眠」、「生活樂趣」，後測時均達到統計上顯著差異(p< 0.05)。(3)實驗組與控制組在情緒與身體症狀評估表，後測的憂鬱症狀分量表(DS)、身體症狀分量表(SS)、疼痛症狀分量表(PS)，兩組結果達到統計上顯著差異(p<0.005)。(4)實驗組視覺疼痛量表(VAS)八次前後測量，疼痛程度分數均有明顯下降，且達到統計上顯著差異(p<0.05)。
結論與建議：以靈性照護之呼吸靜心活動介入後，慢性病患的疼痛症狀在處置後的立即改善、憂鬱情緒的減輕成效、各項身體症狀及疼痛程度的緩解。研究建議呼吸靜心可作為慢性疼痛病人的常規輔助治療方法。

關鍵字

慢性疼痛症候群 ； 實驗法 ； 成效分析 ； 呼吸靜心

並列摘要

Purpose- Since had been suffering from long term pain symptom, patients of chronic pain syndrome had body-mind discomfort and bad mood and resulted in deteriorating of holistic life quality. The patients would not have complete pain relief even they were treated by analgesics. This study was to evaluate outcomes of chronic pain syndrome patients after receiving spiritual care and breath meditation activities.
Method- Participants (Pain clinic outpatients) assigned to experimental and control groups. Eight times breath meditation instructions were applied to experimental group. In control group, participants received questionnaire only without breath meditation application. In experimental group, before and after receiving the breath meditation, received questionnaire and used three validated rating scales: Depression and Somatic symptoms scale (DSSS), (SF-36), Brief Pain Inventory-Short Form (BPI-S) and Visual Analog Scale (VAS) to measure psychological, physical and pain symptoms respectively. Data analysis were done by SPSS 17.0 computing software.
Result- 1. Comparing the pre- and post-test of SF-36 in the experimental group, only "Body Pain" subscale showed significant different. 2. Comparing post-test of experimental and control group in BPI-S , "Pain severity" "Mood" "Normal work" "Relationship" "Sleep" "Enjoyment of life" subscale displayed significant statistic different (p<0.05). Both experimental and control group had statistically significant difference in all assessment. In evaluation of VAS, the experimental group had reduction in degree of pain which significant.
Conclusion- By applying spiritual care and breath meditation, chronic pain syndrome patients felt effects of alleviation in frustrating emotion. In addition, prompt improvement in pain symptom was also found after having such meditation. Therefore, this result suggested that breath meditation deemed as complement and alternative medicine.

並列關鍵字

outcome study ； experiment ； breath meditation ； chronic pain syndrome

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