Research on the Effects of MBSR Therapy Under a Mobile Health Service Model Intervention on Caregivers of Home-Bound Disabled Elders Undergoing Percutaneous Transhepatic Cholangial Drainage Recovery

doi:10.3877/cma.j.issn.2095-5782.2026.03.014

Abstract

Abstract:

Objective

To investigate the effects of Mindfulness-Based Stress Reduction (MBSR) therapy under a mobile health service model on the psychological resilience and self-efficacy of caregivers with home-bound disabled elders undergoing percutaneous transhepatic cholangial drainage recovery (PTCD).

Methods

The study enrolled 110 primary caregivers of disabled elders who underwent PTCD between March 2024 and May 2025 within a designated district of Shanghai. Participants were randomly assigned using a digital random table to either an intervention group or a control group (n=55). The experimental group received a self-developed mobile nursing information support mini-program equipped with "MBSR training," while the control group received routine postoperative psychological care. Both groups were assessed before and after intervention using the Psychological Resilience Scale, Self-Efficacy Scale, and Depression-Anxiety-Stress Scale.

Results

Following the intervention, the experimental group demonstrated significantly higher total scores on psychological resilience and self-efficacy compared to both the control group and baseline levels (P<0.05). In contrast, the control group showed only a statistically significant difference in the strength dimension of the psychological resilience scale compared to baseline (P<0.05), while other dimensions were not statistically significant (P>0.05). Among the three dimensions of negative emotions (depression, anxiety, and stress), the experimental group scored significantly lower than the control group only in the stress dimension (P<0.05).No statistically significant differences were observed in the other dimensions (P>0.05).

Conclusion

The mobile nursing information support mini-program equipped with “MBSR training” can enhance the psychological resilience and self-efficacy among caregivers of disabled elders undergoing PTCD, demonstrating significant potential for broad social application.

Key words: Mobile Health Service Model, Mindfulness-Based Stress Reduction(MBSR), Percutaneous Transhepatic Cholangial Drainage(PTCD), Caregivers of Home-bound Disabled Elders

Yi Zhou, Rong Liu, Huiming Cai, Yin Xu. Research on the Effects of MBSR Therapy Under a Mobile Health Service Model Intervention on Caregivers of Home-Bound Disabled Elders Undergoing Percutaneous Transhepatic Cholangial Drainage Recovery[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2026, 14(03): 323-329.

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URL: https://zhjrfsxdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-5782.2026.03.014

https://zhjrfsxdzzz.cma-cmc.com.cn/EN/Y2026/V14/I03/323

Figures/Tables 5

周次	训练主题	训练内容	训练目的
1	认识和熟悉	MBSR理论培训；自我练习方法教授；伸展练习	开启身体觉察与理论奠基
2	呼吸放松	葡萄干练习；正念观呼吸（呼吸冥想）	初步体验“有意注意”与“不评判”的态度
3	正念觉察	巩固前序练习，引入行禅	培养动态中的专注力
4	认识自己的想法	引入短时静坐冥想，体验放空状态	促进清晰思考与深度休息
5	允许自己犯错误	延长静坐冥想时间；讨论情绪与想法的联系	引导深化冥想与情绪探索
6	练习随时进入觉知状态	结合呼吸冥想与更长时间的静坐冥想	主动识别并分析负面情绪，学习以正念应对
7	处理自我随时出现的消极信念	将所学练习融于日常生活	养成对负性情绪与事件的自然接纳与客观理性的反应模式
8	总结和分享	小组总结，分享每个人的感受和这一段时间的变化	巩固训练成果，形成长期坚持练习习惯

项目	对照组[n=55，例(%)]	观察组[n=55，例(%)]	t/F值	P值
年龄分段			1.51	0.134
40岁以下	11(20.00)	12(21.82)
40~50岁	29(52.73)	36(65.45)
50~60岁	8(14.55)	4(7.27)
60岁以上	7(12.73)	3(5.45)
性别			0.473	0.067
女性	45(81.82)	43(78.18)
男性	10(18.18)	12(21.82)
文化程度			1.101	0.273
高中及以下	30(54.55)	27(49.09)
大专	21(38.18)	19(34.55)
本科及以上	4(7.27)	9(16.36)
工作状态			1.145	0.255
在职	27(49.09)	33(60.00)
非在职	28(50.91)	22(40.00)
婚姻状况			1.970	0.051
未婚	16(29.09)	22(40.00)
已婚	23(41.82)	26(47.27)
丧偶或离异	16(29.09)	7(12.73)
照护知识培训			0.581	0.563
有	53(96.36)	54(98.18)
无	2(3.64)	1(1.82)
照护陪伴经历			0.582	0.562
无	32(58.18)	35(63.64)
有	23(41.82)	20(36.36)

量表维度	对照组（n=55， $x ¯$ ±s）				观察组（n=55， $x ¯$ ±s）				组间比较（干预前）		组间比较（干预后）
量表维度	干预前	干预后	t值	P值	干预前	干预后	t值	P值	t值	P值	t值	P值
力量	16.42±2.91	17.78±2.73	-2.536	0.013	16.29±3.25	25.18±7.07	-8.474	<0.01	0.216	0.829	-7.241	<0.01
乐观	9.11±1.89	9.65±2.34	-1.346	0.181	8.75±1.89	14.67±2.35	-14.585	<0.01	1.009	0.315	-11.235	<0.01
坚韧	28.93±4.08	30.35±4.74	-1.682	0.095	27.33±4.16	39.45±4.38	-14.884	<0.01	2.036	0.044	-10.47	<0.01
心理弹性总分	54.45±5.01	57.78±6.45	-3.022	0.003	52.65±5.01	79.31±10.01	-17.659	<0.01	1.884	1.8	-13.41	<0.01

量表维度	对照组（n=55， $x ¯$ ±s）				观察组（n=55， $x ¯$ ±s）				组间比较（干预前）		组间比较（干预后）
量表维度	干预前	干预后	t值	P值	干预前	干预后	t值	P值	t值	P值	t值	P值
力量	16.42±2.91	17.78±2.73	-2.536	0.013	16.29±3.25	25.18±7.07	-8.474	<0.01	0.216	0.829	-7.241	<0.01
乐观	9.11±1.89	9.65±2.34	-1.346	0.181	8.75±1.89	14.67±2.35	-14.585	<0.01	1.009	0.315	-11.235	<0.01
坚韧	28.93±4.08	30.35±4.74	-1.682	0.095	27.33±4.16	39.45±4.38	-14.884	<0.01	2.036	0.044	-10.47	<0.01
心理弹性总分	54.45±5.01	57.78±6.45	-3.022	0.003	52.65±5.01	79.31±10.01	-17.659	<0.01	1.884	1.8	-13.41	<0.01

量表维度	对照组（n=55， $x ¯$ ±s）				观察组（n=55， $x ¯$ ±s）				组间比较（干预前）		组间比较（干预后）
量表维度	干预前	干预后	t值	P值	干预前	干预后	t值	P值	干预前	干预后	t值	P值
压力	12.55±3.66	11.11±4.6	1.814	0.073	11.6±4.53	9.07±2.16	3.815	<0.01	1.135	0.259	2.973	0.04
焦虑	11.31±4.13	10.09±4.11	1.551	0.124	10.3±4.06	9.89±2.73	0.716	0.475	1.211	0.945	0.3	0.764
抑郁	10.6±3.54	9.95±4.18	0.886	0.378	9.98±4.09	9.24±2.44	1.162	0.248	0.848	0.398	1.086	0.281

量表维度	对照组（n=55， $x ¯$ ±s）				观察组（n=55， $x ¯$ ±s）				组间比较（干预前）		组间比较（干预后）
量表维度	干预前	干预后	t值	P值	干预前	干预后	t值	P值	干预前	干预后	t值	P值
压力	12.55±3.66	11.11±4.6	1.814	0.073	11.6±4.53	9.07±2.16	3.815	<0.01	1.135	0.259	2.973	0.04
焦虑	11.31±4.13	10.09±4.11	1.551	0.124	10.3±4.06	9.89±2.73	0.716	0.475	1.211	0.945	0.3	0.764
抑郁	10.6±3.54	9.95±4.18	0.886	0.378	9.98±4.09	9.24±2.44	1.162	0.248	0.848	0.398	1.086	0.281

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