首页|基于互联网的正念减压疗法对维持性血液透析患者睡眠质量的影响研究

基于互联网的正念减压疗法对维持性血液透析患者睡眠质量的影响研究

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目的 探讨基于互联网的正念减压(MBSR)疗法对维持性血液透析(MHD)患者睡眠质量及正念注意觉知的影响.方法 从湘潭市某综合医院的血透室选取84例正在进行MHD治疗的患者作为研究对象,将其随机分成试验组和对照组,每组42例.对照组采用医院血透室的常规护理措施,试验组则实施常规护理+基于互联网的正念减压疗法.在干预前后分别使用匹兹堡睡眠质量指数量表(PSQI)和正念注意觉知量表(MAAS)对两组患者的睡眠质量和正念水平进行对比分析.结果 干预后试验组的MAAS评分显著高于对照组及本组干预前(P<0.05),PSQI总分以及睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍6个维度的得分明显低于对照组(P<0.05).结论 基于互联网的MBSR疗法可以改善MHD患者的睡眠质量,可以提高MHD患者的正念注意觉知水平,对缓解患者身心压力、改善患者心境状态有积极作用.
Study on the Effect of Mindfulness-based Stress Reduction on Sleep Quality of Maintenance Hemodialysis Patients Based on Internet
Objective To explore the effect of mindfulness-based stress reduction(MBSR)on sleep quality and mindfulness awareness in maintenance hemodialysis(MHD)patients based on internet.Methods 84 patients undergoing MHD treatment were selected from the hemodialysis room of a comprehensive hospital in Xiangtan City as the study subjects.They were randomly divided into experimental group and control group,with 42 patients in each group.The control group received routine nursing measures in the hemodialysis room of hospital,while the experimental group received routine nursing+mindfulness-based stress reduction based on internet.Before and after intervention,the Pittsburgh Sleep Quality Index(PSQI)and Mindfulness Attention and Awareness Scale(MAAS)were used to compare and analyze the sleep quality and mindfulness level of the two groups of patients.Results After intervention,the MAAS score of the experimental group was significantly higher than that of the control group and before intervention in this group(P<0.05).The total PSQI score and the scores of six dimensions including sleep quality,falling asleep time,sleep duration,sleep efficiency,sleep disorders,and daytime dysfunction were significantly lower than those in control group(P<0.05).Conclusion Internet based MBSR can improve the sleep quality of patients undergoing MHD,improve the level of mindfulness and attention awareness of MHD patients,and play a positive role in relieving the physical and mental pressure of patients and improving their mood.

InternetMindfulness-based stress reductionMaintenance hemodialysisSleep quality

谭旭妍、唐英姿、李央、田嫦玲

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湘潭医卫职业技术学院,湖南湘潭 411104

湘潭医卫职业技术学院附属医院,湖南湘潭 411199

互联网 正念减压 维持性血液透析 睡眠质量

2025

卫生职业教育
甘肃省医学科学研究院

卫生职业教育

影响因子:0.39
ISSN:1671-1246
年,卷(期):2025.43(4)