【摘要】 目的探究正念认知疗法对肾移植术后患者情绪障碍及睡眠状况的影响。方法选取哈尔滨医科大学附属第一医院自2011年1月~2017年1月肾移植术后的60例终末期肾病患者,按照随机数表将其分为观察组与对照组,每组各30例。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。两组患者护理前及护理1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;护理1个月后,采用匹兹堡睡眠质量指数量表(PSQI)测定患者睡眠质量指数并进行分析评价,并使用生活质量测定量表分别测定两组患者在情绪功能、身体功能、社会功能、角色功能方面的得分并对生活质量进行评价。结果护理1个月后,两组患者观察组SDS评分与SAS评分均显著降低,对照组只有SAS评分明显降低,且观察组患者SDS评分与SAS评分降低程度大于对照组,差异有高度统计学意义(P<0.01);观察组患者PSQI各项评分及总分均低于对照组患者,观察组睡眠质量优于对照组,差异有高度统计学意义(P<0.01);观察组患者情绪功能、身体功能、社会功能、角色功能和总体生活质量评分明显高于对照组,差异有统计学意义(P<0.05)。结论正念认知疗法能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。更多还原

【Abstract】 Objective To explore the effects of mindfulness based cognitive therapy(MBCT) on quality of life and sleep status in end-stage renal disease patients with renal transplantation. Methods 60 patients with end-stage renal disease underwent renal transplantation from January 2011 to January 2017 in the First Affiliated Hospital of Harbin Medical University were divided into observation group and control group according to random number table, with 30 cases in each group. The patients in control group were treated by routine nursing, and the patients in observation group were treated by MBCT based on the routine nursing. Before nursing and one month after nursing, self-rating depression scale(SDS) and self-rating anxiety scale(SAS) were used to evaluate the emotion of anxiety and depression in two groups; after one month nursing, the Pittsburgh sleep quality index scale(PSQI) was used to evaluate sleep status in two groups patients. And the scale of quality of life in emotional function, physical function, social function, role function score and quality of life were evaluated. Results One month after nursing, the SDS score and SAS score in observation group were significantly decreased, only SAS score in control group was significantly decreased; and the SDS score and SAS score in the observation group were decreased more than those in the control group, with statistically significant difference(P < 0.01); the PSQI score and total score in the observation group were lower than those in the control group, with statistically significant difference(P < 0.01); the score of emotional function, physical function, social function, role function and overall quality of life in the observation group were significantly higher than those in the control group, with statistically significant difference(P < 0.05). Conclusion MBCT can alleviate depression and anxiety, improve sleep quality, and improve the quality of life in patients with end-stage renal disease underwent renal transplantation.更多还原