世界睡眠医学杂志2024,Vol.11Issue(4) :847-850.DOI:10.3969/j.issn.2095-7130.2024.04.039

分析正念训练对维持性血液透析患者负性情绪及睡眠质量的影响

Analyzing the Impact of Mindfulness Training on Negative Emotions and SLeep Quality in Maintenance Hemodialysis Patients

杨欣微 王声望
世界睡眠医学杂志2024,Vol.11Issue(4) :847-850.DOI:10.3969/j.issn.2095-7130.2024.04.039

分析正念训练对维持性血液透析患者负性情绪及睡眠质量的影响

Analyzing the Impact of Mindfulness Training on Negative Emotions and SLeep Quality in Maintenance Hemodialysis Patients

杨欣微 1王声望1
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作者信息

  • 1. 福建省泉州市第一医院,泉州,362000
  • 折叠

摘要

目的:分析正念训练对维持性血液透析患者负性情绪及睡眠质量的影响.方法:选取2022年9月至2023年11月福建省泉州市第一医院收治的维持性血液透析(MHD)尿毒症患者116例作为研究对象,按照随机数字表法分为对照组和观察组,每组58例.对照组给予常规心理护理干预,观察组在常规心理护理干预的基础上给予正念训练干预.采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)比较2组患者干预前后焦虑、抑郁状态的改善效果,采用阿森斯失眠量表(AIS)比较2组患者干预前后睡眠质量的变化.结果:干预8周后,观察组HAMA评分、HAMD评分均显著低于对照组,观察组干预后AIS评分显著下降,在4周、8周与12周时AIS评分、睡眠障碍发生率均显著低于对照组,差异均有统计学意义(均P<0.05).结论:正念训练可改善MHD患者负性情绪,提高患者的睡眠质量,减少睡眠障碍发生率,值得临床推广应用.

Abstract

Objective:To analyze the effect of mindfulness training on negative emotions and sleep quality in maintenance hemo-dialysis patients.Methods:A total of 116 uremic patients with maintenance hemodialysis(MHD)admitted to the First Hospital of Quanzhou City,Fujian Province,from September 2022 to November 2023 were selected as the study subjects.They were randomly divided into observation and control groups using a random number table method,with 58 cases in each group.The control group received routine psychological care intervention,while the observation group received mindfulness training intervention based on routine psychological care intervention.The Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)were used to compare the improvement effects of anxiety and depression status between two groups of patients before and after interven-tion.The Asens Insomnia Scale(AIS)was used to compare the changes in sleep quality between the two groups of patients before and after intervention.Results:After eight weeks of intervention,the HAMA score and HAMD score of the observation group were significantly lower than those of the control group.After intervention,the AIS score of the observation group decreased significant-ly.At 4,8,and 12 weeks,the AIS score and the incidence of sleep disorders were significantly lower than those of the control group.The difference between the two groups was statistically significant(P<0.05).Conclusion:Mindfulness training can im-prove negative emotions,enhance the quality of sleep and reduce the incidence of sleep disorders in MHD patients,which is wor-thy of clinical promotion and application.

关键词

尿毒症/维持性血液透析/正念训练/焦虑/抑郁/睡眠障碍

Key words

Uremia/Maintenance hemodialysis/Mindfulness training/Anxiety/Depression/Sleep disorders

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出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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