自助式正念减压训练对心房颤动患者射频消融术后疾病不确定感及睡眠质量的影响  

Effects of self-help mindfulness-based stress reduction training on illness uncertainty and sleep quality in atrial fibrillation patients after radiofrequency ablation

作　　者：陈月香[1] 史珣瑜 吴文君[1] 秦彩萍[1] 徐燕[1] 张亚欣 Chen Yuexiang;Shi Xunyu;Wu Wenjun;Qin Caiping;Xu Yan;Zhang Yaxin(Department of Cardiology,the First Peoples Hospital of Changzhou,Changzhou 213000,China)

机构地区：[1]常州市第一人民医院心血管内科,常州213000

出　　处：《中国实用护理杂志》2023年第23期1809-1814,共6页Chinese Journal of Practical Nursing

基　　金：常州市卫健委青年人才科技项目(QN202001)。

摘　　要：目的探讨自助式正念减压训练对心房颤动(房颤)患者射频消融术后疾病不确定感及睡眠质量的影响,为改善此类患者的生命质量提供依据。方法本研究为随机对照研究。采取便利抽样方法,选取常州市第一人民医院2021年1—12月收治的90例房颤行射频消融术后患者,按随机数字表法分为试验组和对照组各45例,对照组给予常规护理,试验组在常规护理基础上实施自助式正念减压训练。采用五因素正念觉知量表(FFMQ)、Mishel疾病不确定感量表和匹兹堡睡眠质量指数(PSQI)于干预前、干预后8周及3个月进行效果评价。结果试验组完成研究42例,对照组完成研究41例。重复测量方差分析结果显示,2组患者正念总分、疾病不确定感总分、睡眠质量总分均存在交互效应(F_(交互)=90.98、46.27、39.61,均P<0.01)、时间效应(F_(时间)=298.67、179.06、76.32,均P<0.01)及组间效应(F_(组间)=19.88、4.07、18.70,均P<0.05),简单效应分析显示试验组各量表得分在干预后均显著优于对照组(F值为11.75~66.49,均P<0.01)。结论自助式正念减压训练能提高房颤射频消融术后患者正念水平,降低疾病不确定感,改善患者睡眠质量。Objective To investigate the effects of self-help mindfulness-based stress reduction(MBSR)training on illness uncertainty andsleep quality in patients with atrial fibrillation(AF)after radiofrequency ablation.To provide the basis for improving the quality of life of these patients.Methods This was a randam controlled Test.A convenient sampling method was used to select 90 patients with atrial fibrillation who underwent radiofrequency ablation in the First Peoples Hospital of Changzhou from January 2021 to December 2021.According to the random number table method.They were divided into the experimental group and the control group,with 45 cases in each group.The control group received routine nursing,and the observation group received home-based self-help MBSR training based on the routine nursing.Five Facet Mindfulness Questionnaire(FFMQ),Mishel Uncertainty in Illness Scale and the Pittsburgh Sleep Quality Index Scale(PSQI)were used to evaluate the scores of each scale before intervention,8 weeks and 3 months after intervention.Results A total of 42 cases were completed in the experimental group and 41 cases in the control group.Repeated measurement analysis of variance showed that there were interaction effect(F interaction=90.98,46.27,39.61,all P<0.01),time effect(F_(time)=298.67,179.06,76.32,all P<0.01)and inter-group effect(F_(intergroup)=19.88,4.07,18.70,all P<0.05)on mindfulness score,disease uncertainty score,total score of sleep quality and scores of all dimensionsin between the two groups.Simple effect analysis showed that scores of all scales in experimental groups were significantly better than those in control group after the intervention(F values were 11.75 to 66.49,all P<0.01).Conclusion Self-help MBSR training can improve the level of mindfulness,reduce the feeling of uncertainty and improve the quality of sleep in patients with atrial fibrillation after radiofrequency ablation.

关 键 词：心房颤动 射频消融术 正念减压 疾病不确定感 睡眠质量 

分 类 号：R473.5[医药卫生—护理学]