摘要
目的探讨正念认知干预训练对肾移植术后患者情绪障碍及睡眠状况的影响。方法回顾性分析哈尔滨医科大学附属第一医院2013年1月—2016年1月84例施行肾移植手术的患者的临床资料,按照随机数表将其分为观察组(n=42)与对照组(n=42)。对照组进行常规护理,观察组在常规护理的基础上进行正念认知训练。两组患者分别在护理一周及3个月后,运用抑郁自评量表(SDS)以及焦虑自评量表(SAS)对所有患者的焦虑抑郁情况进行分析。另外护理3个月后,采用匹兹堡睡眠质量指数量表(PSQI)测定患者的睡眠质量指数并进行分析,使用生活质量测定量表分别测定两组患者在情绪、身体、社会及角色功能方面的得分并对生活质量进行评价。结果患者护理3个月后,观察组SDS、SAS评分均显著低于对照组评分(SDS:43±12比63±11,P<0.05;SAS:39±6比60±7,P<0.05),差异具有统计学意义。观察组患者PSQI得分明显低于对照组得分(6.2±1.3比8.23±1.1,P<0.05);观察组患者总体生活质量评分明显高于对照组评分(8.8±1.3比5.6±1.1,P<0.05),差异均具有统计学意义。结论正念认知干预训练缓解肾移植术后患者的抑郁以及焦虑情绪,提高患者睡眠质量,有利于提高患者生活质量。
Objective To explore the effects of mindfulness based cognitive intervention on emotional disorder of patients after renal transplantation and sleep condition. Methods The clinical data of 84 cases of patients after renal transplantation from January 2013 to January 2016,were retrospectively analysed. According to the random number table will be divided into observation group and control group of 42 cases. The control group was given routine nursing, the observation group in the conventional care on the basis of mindfulness based cognitive training. Two groups of patients were carried out nursing after a week and three months, using the selfrating depression scale（SDS） and self-rating anxiety scale（SAS） in all patients were analyzed. And nursing after three months, the Pittsburgh sleep quality index（PSQI） was used to measure and analyze the sleep quality index of patients. Determination of two groups of patients in physical function, emotional function, social function, role function scores by quality of life measurement scale and to evaluate the quality of life. Results After three months nursing, the SDS and SAS score of observation group was significantly lower than the control group（SDS ：43±12 vs. 63±11,P〈0.05;SAS ：39±6 vs. 60±7,P〈0.05）, the difference was statistically significant. The patients in the observation group PSQI score was lower than the control group（6.2±1.3 vs. 8.23±1.1,P〈0.05）;patients in the observation group the overall quality of life score was significantly higher than the control group（8.8±1.3 vs. 5.6±1.1,P〈0.05）,the difference was statistically significant. Conclusion Mindfulness based cognitive training intervention could relieve the depression after renal transplantation and anxiety, improved the sleep quality of patients, helped patients with healthy life.
作者
王娜
Wang Na(Department of Urology,First Affiliated Hospital of Harbin Medical University,Harbin 150001,Heilongjiang,China.)
出处
《实用器官移植电子杂志》
2018年第4期311-314,共4页
Practical Journal of Organ Transplantation(Electronic Version)
基金
国家临床重点专科建设项目经费资助(2012--649)
关键词
正念认知干预训练
肾移植术
情绪障碍
睡眠状况
Mindfulness based cognitive intervention training
Renal transplantation
Emotional disorder
Sleep status
