正念减压式心理干预对肝脏肿瘤切除患者焦虑与抑郁和睡眠质量的影响  

Effects of mindfulness decompression psychological intervention on anxiety,depression and sleep quality in patients with liver tumor resection

作　　者：张晓 胡磊[1] 杨华[1] 顾锦红 张萍萍 吴萍 吴会生 杨新[3] Zhang Xiao;Hu Lei;Yang Hua;Gu Jinhong;Zhang Pingping;Wu Ping;Wu Huisheng;Yang Xin(Department of General Surgery,Tongling People′s Hospital,Tongling 244000,China;不详)

机构地区：[1]铜陵市人民医院普外科肝胆病区,铜陵244000 [2]安徽医科大学第一附属医院 [3]武汉大学中南医院麻醉科

出　　处：《中国临床保健杂志》2022年第3期398-401,共4页Chinese Journal of Clinical Healthcare

基　　金：湖北省自然科学基金计划项目(2020CFB614)。

摘　　要：目的探讨正念减压心理干预对肝脏肿瘤切除术患者围术期焦虑、抑郁及睡眠质量的影响。方法选择铜陵市人民医院60例肝脏肿瘤切除术患者,性别不限,采用随机数字表法将其分为对照组和观察组。对照组入院后予以肝脏肿瘤切除术常规护理,观察组则在常规护理的基础上于入院后第2天辅以正念减压心理干预。于不同时点观察2组患者焦虑自评量表评分(SAS)、抑郁自评量表评分(SDS)、匹兹堡睡眠质量指数(PSQI)及围术期并发症发生情况。结果经正念减压心理干预后观察组SAS、SDS和PSQI较对照组均明显降低,围术期并发症发生率显著降低。结论正念减压心理干预可有效减轻肝脏肿瘤切除术患者远期焦虑、抑郁程度,改善睡眠质量,降低围术期并发症发生率。Objective To observe the effect of mindfulness decompression psychological intervention on perioperative anxiety,depression and sleep quality of patients undergoing liver tumor resection,and to explore its clinical significance.Methods Sixty patients with liver tumor resection who were admitted to Tongling People’s Hospital were randomly divided into control group and observation group.The control group received routine nursing after liver tumor resection,while the observation group received mindfulness decompression psychological intervention on the second day after admission on the basis of routine nursing.SAS,SDS,PSQI and perioperative complications were observed at different time points.Results After mindfulness decompression psychological intervention,SAS,SDS and PSQI in the observation group were significantly lower than those in the control group,and the incidence of perioperative complications was significantly lower.Conclusions Mindfulness decompression psychological intervention can effectively reduce the degree of anxiety and depression,improve sleep quality and reduce the incidence of perioperative complications in patients undergoing liver tumor resection.

关 键 词：肝肿瘤 心理社会干预 减压 焦虑 抑郁 入睡和睡眠障碍 

分 类 号：R47[医药卫生—护理学]