首页|正念认知疗法对维持性血液透析女性患者心理状态及睡眠的影响

正念认知疗法对维持性血液透析女性患者心理状态及睡眠的影响

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目的 分析正念认知疗法对维持性血液透析(MHD)女性患者心理状态及睡眠的影响.方法 选取2020年1月至2023年1月安徽省淮北市中医医院收治的92例接受MHD治疗的女性患者,根据随机数字表法将其分为对照组和试验组,各46例.对照组接受MHD治疗和综合管理,试验组在对照组基础上接受正念认知疗法.比较两组心理状态、睡眠质量、生活质量.结果 入组后4周,两组焦虑自评量表、抑郁自评量表、睡眠质量、入睡时间、睡眠时间、睡眠障碍、睡眠效率、睡眠药物、日间功能评分及总分均低于入组时,且试验组低于对照组(P<0.05).入组后4周,两组肾病相关生命质量表、健康调查简表、肾脏疾病生活质量简表评分均高于入组时,且试验组高于对照组(P<0.05).结论 MHD期间开展正念认知疗法有助于帮助MHD女性患者改善负面情绪,提高其睡眠质量和生活质量.
Effect of mindfulness-based cognitive therapy on mental state and sleep in female patients with maintenance hemodialysis
Objective To analyze the effect of mindfulness-based cognitive therapy on mental state and sleep in female patients with maintenance hemodialysis(MHD).Methods Ninety-two female patients received MHD treatment from January 2020 to January 2023 in Huaibei Hospital of Traditional Chinese Medicine were selected and they were divided into control group and experimental group according to the random number table method,with 46 cases in each group.Control group received MHD treatment and comprehensive management,while experimental group received mindfulness-based cognitive therapy on the basis of control group.Psychological status,sleep quality,and quality of life between two groups were compared.Results Four weeks after enrollment,self-rating anxiety scale,self-rating depression scale,sleep quality,time to fall asleep,sleep dura-tion,sleep disorders,sleep efficiency,sleep medication,daytime function score,and total scores in two groups were lower than those at enrollment,and those in experimental group were lower than those in control group(P<0.05).Four weeks after enrollment,kidney disease-related quality of life scale,short form-36 health survey,and kidney disease quality of life short form 1.3 scores in two groups were higher than those at enrollment,and those in experimental group were higher than those in control group(P<0.05).Conclusion Mindfulness-based cognitive therapy during MHD can help female with MHD improve their negative emotions,sleep quality,and quality of life.

Mindfulness-based cognitive therapyMaintenance hemodialysisAnxiety and depressionSleep quality

罗艳、郭妮娜、汪茂宝、侯莹莹、聂伟

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安徽省淮北市中医医院血透室,安徽淮北 235000

安徽省淮北市中医医院重症医学科,安徽淮北 235000

正念认知疗法 维持性血液透析 焦虑抑郁 睡眠质量

安徽省卫生健康委科研项目安徽省中医药传承创新科研项目

AHWJ2021b0442022CCYB17

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(13)
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