正念心理疗法对白血病患者心态和睡眠的影响  

Effects of Mindfulness Psychotherapy on the State of Mind and Sleep of Patients with Leukemia

作　　者：洪小玲 HONG Xiaoling(Department of Hematology,Quanzhou First Hospital,Quanzhou 362000,China)

机构地区：[1]泉州市第一医院血液内科,泉州362000

出　　处：《世界睡眠医学杂志》2024年第2期354-356,360,共4页World Journal of Sleep Medicine

摘　　要：目的:研究白血病患者护理中运用正念心理疗法的干预效果。方法:选取2021年3月至2022年12月泉州市第一医院血液内科收治的白血病患者68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34例。对照组进行常规护理,观察组采用正念心理疗法,于护理前后对2组患者的情绪状态(焦虑、抑郁)、睡眠质量和生命质量进行评估,并将护理前后2组的各项指标评估结果进行比较分析。结果:护理后2组患者的焦虑和抑郁情绪较护理前均有明显改善,而护理后观察组的焦虑和抑郁评分均小于对照组,差异均有统计学意义(均P<0.05);观察组护理后的各项睡眠质量评分及总评分均小于对照组,差异均有统计学意义(均P<0.05);护理前后患者的生命质量均有改善,而护理后观察组的生命质量评分大于对照组,差异均有统计学意义(均P<0.05)。结论:白血病患者伴有情绪障碍和睡眠障碍,而通过运用正念心理疗法进行干预可以显著缓解患者的负性情绪,改善其睡眠状态,最终提高其生命质量,临床意义显著。Objective:To study the intervention effect of mindfulness psychotherapy in the nursing of patients with leukemia.Methods:A total of 68 leukemia patients admitted to the Department of Hematology of our hospital from March 2021 to December 2022 were selected.The random number table method was used as the basis for grouping,with 34 cases in the control group and 34 cases in the observation group.The emotional state(anxiety,depression),sleep quality and quality of life of the two groups were evaluated before and after nursing,and the evaluation results of each index of the two groups were compared and analyzed.Results:After the evaluation of the emotional state of patients,the anxiety and depression of the two groups were significantly improved compared with those before the nursing,while the anxiety and depression scores of the observation group were lower than those of the control group(P s<0.05).After evaluation of patients′sleep quality,the sleep quality scores and total scores of the observation group were lower than those of the control group(P s<0.05).The quality of life of the patients was improved before and after the nursing,and the quality of life score of the observation group was greater than that of the control group,with statistical significance(P s<0.05).Conclusion:Patients with leukemia are accompanied by mood disorders and sleep disorders.Mindfulness psychotherapy intervention can significantly alleviate the negative emotions of patients,improve their sleep status,and finally improve their quality of life,which has significant clinical significance.

关 键 词：正念心理疗法 常规护理 白血病 焦虑程度 抑郁程度 睡眠质量 生命质量 护理效果 

分 类 号：R473.73[医药卫生—护理学] R338.63[医药卫生—临床医学]