摘要
目的 探讨本森放松训练(BRT)联合线上健康宣教对慢性肾脏病患者情绪、睡眠和心理弹性的影响。方法 选取2022年10月至2024年8月就诊于郑州大学第一附属医院肾脏病科的住院和门诊患者共120例,采用抛硬币法随机分为研究组62例和对照组58例,其中研究组给予为期8周,每周5次BRT联合每周1次线上健康宣教,对照组仅给予每周1次线上健康宣教。比较干预前后两组抑郁自评量表评分(SDS)、焦虑自评量表评分(SAS)、匹兹堡睡眠质量指数(PSQI)和心理弹性量表评分(CD-RISC)的差异。结果 干预前,两组研究组SDS、SAS、PSQI和CD-RISC评分与对照组差异无统计学意义(P>0.05),但均高于国内常模,差异有统计学意义(P<0.05);干预后,研究组和对照组SDS、SAS、PSQI均较干预前下降,且研究组低于对照组,差异有统计学意义(P<0.05);干预后研究组CD-RISC坚韧性、力量性、乐观性评分高于干预前,且高于对照组,差异有统计学意义(P<0.05),对照组仅力量性、坚韧性评分高于干预前,差异有统计学意义(P<0.05)。结论 慢性肾脏病患者焦虑抑郁水平高、睡眠状况差,BRT联合线上健康宣教和单纯线上健康宣教均能够改善患者的焦虑抑郁水平、睡眠状况和提高心理弹性,但BRT联合线上健康宣教效果优于单纯线上健康宣教。
Objective To explore the effects of Benson’s relaxation training(BRT)combined with online health education on the emotions,sleep,and psychological resilience of patients with chronic kidney disease.Methods A total of 120 patients in the nephrology department of the First Affiliated Hospital of Zhengzhou University from October 2022 to August 2024 were selected.They were randomly divided into research group of 62 cases and control group of 58 cases using the coin toss method.The research group received BRT five times a week in combination with online health education once a week for a period of 8 weeks,while the control group only received online health education once a week.Compared the differences in self-rating depression scale(SDS),self-rating anxiety scale(SAS),Pittsburgh sleep quality index(PSQI),and Connor-Davidson resilience scale(CD-RISC)scores between two groups before and after intervention.Results The SDS,SAS,PSQI,and CD-RISC scores of the two groups before intervention showed no statistically significant difference(P>0.05),but were all higher than the domestic norm,and the differences were statistically significant(P<0.05).After intervention,SDS,SAS,and PSQI in both the research group and the control group decreased compared to before intervention,but the research group was significantly lower than the control group,with statistical significance(P<0.05).The resilience,strength,and optimism scores in the CD-RISC scale of the research group were higher than before the intervention and higher than those in the control group,and the difference was statistically significant(P<0.05).The control group only had higher strength and resilience scores than before intervention,with statistical significance(P<0.05).Conclusion Patients with chronic kidney disease have high levels of anxiety and depression,and poor sleep conditions.Both BRT combined with online health education and pure online health education can improve patients’anxiety and depression levels,sleep conditions,and psychological resilience.However,BRT combined with online health education is more effective than pure online health education.
作者
刘璐
李小静
王亭亭
刘晓
杨磊
LIU Lu;LI Xiaojing;WANG Tingting;LIU Xiao;YANG Lei(Department of Nephrology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Psychiatry,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《河南医学研究》
2025年第24期4565-4570,共6页
Henan Medical Research
基金
河南省科技攻关项目(242102311050)。
关键词
慢性肾脏病
情绪
失眠
心理弹性
本森放松训练
chronic kidney disease
emotions
insomnia
psychological resilience
Benson’s relaxation training
