【摘要】 目的：探讨正念认知疗法结合强化自能护理对糖尿病肾病(DN)血液透析患者疲乏状况及自护行为的影响。方法：选取2021年3月—2023年2月厦门市中医院收治的125例DN血液透析患者作为研究对象，随机分为对照组62例和研究组63例，对照组给予常规护理干预，研究组给予正念认知疗法结合强化自能护理干预。对比两组心理状态[焦虑、抑郁自评量表(SAS、SDS)]、疲乏状况[修订版Pieper疲劳量表(PRFS)]、自护行为[糖尿病自护行为量表(SDSCA)]、生活质量[肾脏病生活质量量表(KDQOL-SF)]。结果：护理后研究组SAS、SDS评分较对照组低，差异有统计学意义(P<0.05)；护理后研究组PRFS各维度评分较对照组低，差异有统计学意义(P<0.05)；护理后研究组SDSCA各维度评分较对照组高，差异有统计学意义(P<0.05)；护理后研究组KDQOL-SF评分较对照组高，差异有统计学意义(P<0.05)。结论：正念认知疗法结合强化自能护理能改善DN血液透析患者心理状态，缓解其疲乏，提高患者自我行为、生活质量。更多还原

【Abstract】 Objective:To explore the effect of mindfulness cognitive therapy combined with intensive self-care on fatigue and self-care behavior of hemodialysis patients with diabetes nephropathy (DN).Method:A total of 125 DN hemodialysis patients admitted to Xiamen Traditional Chinese Medicine Hospital from March 2021 to February 2023 were randomly divided into:a control group of 62 cases and a study group of 63 cases.The control group received routine care,while the study group received mindfulness cognitive therapy combined with enhanced self care.The psychological status[Self rating anxiety and depression scale (SAS,SDS)],fatigue status[revised Pieper fatigue scale (PRFS)],self-care behavior[diabetes self-care behavior scale (SDSCA)]and quality of life[Kidney disease quality of life scale (KDQOL-SF)]of the two groups were compared.Result:The SAS and SDS scores of the post nursing study group were lower than those of the control group (P<0.05).The PRFS scores in all dimensions in the post nursing study group were lower than those in the control group (P<0.05).The SDSCA scores in all dimensions in the post nursing study group were higher than those in the control group (P<0.05).The KDQOL-SF score in the post nursing study group was higher than that in the control group (P<0.05).Conclusion:Mindfulness cognitive therapy combined with enhanced self-care can improve the psychological state of DN hemodialysis patients,alleviate their fatigue,and improve their self-behavior and quality of life.更多还原