正念减压训练对原发性青光眼患者负性情绪及睡眠质量的影响研究  

Impact of mindful-based stress reduction exercise on the negative emotion and quality of sleep among patients with glaucoma

作　　者：郑丽丽[1] 李颖[1] 

机构地区：[1]福州总医院五官科,350025

出　　处：《中国实用护理杂志》2017年第13期1005-1009,共5页Chinese Journal of Practical Nursing

摘　　要：目的探讨正念减压训练对原发性青光眼患者负性情绪及睡眠状况的影响。方法随机选取2015年9月至2016年9月期间于本院五官科住院的原发性青光眼患者93例，按随机数字表法分成试验组和对照组。对照组采取常规护理措施，试验组在对照组的基础上实施正念减压训练。2组在人院后和正式干预结束后采用汉密顿焦虑量表（HAMA）、汉密顿抑郁量表（HAMD）、睡眠状况自评量表（sRss）进行焦虑、抑郁情绪和睡眠状况的评估并比较。结果干预后试验组HAMA评分由干预前（13．42±3．56）分降低至（8．23±2．11）分（t=7．832，P=0．000），HAMD评分由干预前（18．42±4．55）分降低至（10．31±2．76）分（f=9．517，P=0．000），效果优于对照组（t=8．117、7．671，均P=0．000）；SRSS评分由干预前（30．81±8．35）分降低至干预后（25．52±6．13）分（t=3．189，P=0．002），效果优于对照组（t=2．253，P=0．027）。结论正念减压训练能够有效减轻焦虑、抑郁等负性情绪，改善患者睡眠质量。Objective To explore the effects of mindful- based stress reduction exercise on the sleep and negative emotion in Primary glaucoma patients. Methods By using random sampling, primary glaucoma patients at the hospital of between September in 2015 and September in 2016. A total of 93 patients were divided into intervention group and control group according to random number table.The control group was given conventional nursing, intervention group joined in mindful-based stress reduction exercise on the basis of routine nursing. Baseline levels of anxiety, depression and status of sleep were measured in the two groups after admission, evaluated and comparison at the end of formal intervention. Results At the end of intervention, the score of Hamilton Anxiety Scale （HAMA） in intervention group was decreased from （13.42±3.56） points to （8.23±2.11） points （t=7.832, P=0.O00）, the score of Hamilton Depression Scale （HAMD） was decreased from （18.42±4.55） points to （10.31±2.76） points （t=9.517, P= 0.000）, the effect was better than the control group （t=8.117, 7.671, all P=0.000）. And the score of Self- Rating Scale of Sleep （SRSS） was decreased from （30.81±8.35） points to（25.52±6.13） points （t=3.189, P= 0.002）, the effect was better than the control group （t=2.253, P=0.027）. Conclusions Mindful-based stress reduction exercise can reduce negative emotions such as anxiety and depression and promote the status of sleep effectively.

关 键 词：青光眼 正念减压 睡眠质量 负性情绪 

分 类 号：R473.77[医药卫生—护理学]