分析正念心理疗法对慢性再生障碍性贫血患者心态和睡眠质量的影响  

Analyzing the Impact of Mindfulness Psychotherapy on the Mentality and Sleep Quality of Patients with Chronic Aplastic Anemia

作　　者：黄嘉卿 HUANG Jiaqing(Quanzhou First Hospital,Quanzhou,Fujian Province,Quanzhou 362000,China)

机构地区：[1]福建省泉州市第一医院,泉州362000

出　　处：《世界睡眠医学杂志》2024年第1期148-151,共4页World Journal of Sleep Medicine

摘　　要：目的:分析正念心理疗法对慢性再生障碍性贫血患者心态和睡眠的影响。方法:选取2022年8月至2023年7月福建省泉州市第一医院收治的慢性再生障碍性贫血患者100例作为研究对象,按照随机数字表法分为对照组和观察组,每组50例。对照组患者给予常规护理干预,观察组患者在对照组基础上增加正念心理疗法。采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)比较2组患者干预前后焦虑、抑郁状态的改善效果,采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,采用Barthel指数评定2组患者干预前后的生命质量。结果:干预后,观察组HAMA评分、HAMD评分、PSQI评分显著低于对照组,Barthel指数评分显著高于对照组,差异均有统计学意义(均P<0.05)。结论:对慢性再生障碍性贫血患者开展正念心理疗法在改善患者不良情绪、提高患者睡眠质量和生命质量方面价值肯定,建议在临床上开展推广运用。Objective:To analyze the effect of mindfulness psychotherapy on the mentality and sleep of patients with chronic aplastic anemia.Methods:A total of 100 patients with chronic aplastic anemia admitted to the First Hospital of Quanzhou City,Fujian Province from August 2022 to July 2023 were selected as the study subjects.They were randomly divided into an observation group(n=50)and a control group(n=50)using a random number table method.The control group received routine nursing intervention,while the observation group received mindfulness psychotherapy in addition to the control group.The Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)were used to compare the improvement effects of anxiety and depression status between two groups of patients before and after intervention.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes in sleep quality between the two groups of patients before and after intervention.The Barthel index was used to evaluate the quality of life of the two groups of patients before and after intervention.Results:After intervention,the HAMA score,HAMD score,and PSQI score of the observation group were significantly lower than those of the control group,and the Barthel index score was significantly higher than that of the control group.The differences between the two groups were statistically significant(P<0.05).Conclusion:The implementation of mindfulness psychotherapy for patients with chronic aplastic anemia is of great value in improving their negative emotions,improving their sleep quality and quality of life.It is recommended to promote and apply it in clinical practice.

关 键 词：正念心理疗法 慢性再生障碍性贫血 焦虑 抑郁 睡眠质量 生命质量 

分 类 号：R556.5[医药卫生—血液循环系统疾病] R338.63[医药卫生—内科学]