正念认知疗法结合强化自能护理对糖尿病肾病血液透析患者疲乏状况及自护行为的影响  

Effect of Mindfulness Cognitive Therapy Combined with Intensive Self-Care on Fatigue Status and Self-Care Behavior of Hemodialysis Patients with Diabetes Nephropathy

作　　者：蔡丽娜[1] 吴丽丹 CAI Lina;WU Lidan(Xiamen Traditional Chinese Medicine Hospital,Xiamen 361000,China;不详)

机构地区：[1]厦门市中医院,福建厦门361000

出　　处：《中外医学研究》2024年第24期99-102,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨正念认知疗法结合强化自能护理对糖尿病肾病(DN)血液透析患者疲乏状况及自护行为的影响。方法:选取2021年3月—2023年2月厦门市中医院收治的125例DN血液透析患者作为研究对象,随机分为对照组62例和研究组63例,对照组给予常规护理干预,研究组给予正念认知疗法结合强化自能护理干预。对比两组心理状态[焦虑、抑郁自评量表(SAS、SDS)]、疲乏状况[修订版Pieper疲劳量表(PRFS)]、自护行为[糖尿病自护行为量表(SDSCA)]、生活质量[肾脏病生活质量量表(KDQOL-SF)]。结果:护理后研究组SAS、SDS评分较对照组低,差异有统计学意义(P<0.05);护理后研究组PRFS各维度评分较对照组低,差异有统计学意义(P<0.05);护理后研究组SDSCA各维度评分较对照组高,差异有统计学意义(P<0.05);护理后研究组KDQOL-SF评分较对照组高,差异有统计学意义(P<0.05)。结论:正念认知疗法结合强化自能护理能改善DN血液透析患者心理状态,缓解其疲乏,提高患者自我行为、生活质量。Objective:To explore the effect of mindfulness cognitive therapy combined with intensive self-care on fatigue and self-care behavior of hemodialysis patients with diabetes nephropathy(DN).Method:A total of 125 DN hemodialysis patients admitted to Xiamen Traditional Chinese Medicine Hospital from March 2021 to February 2023 were randomly divided into:a control group of 62 cases and a study group of 63 cases.The control group received routine care,while the study group received mindfulness cognitive therapy combined with enhanced self care.The psychological status[Self rating anxiety and depression scale(SAS,SDS)],fatigue status[revised Pieper fatigue scale(PRFS)],self-care behavior[diabetes self-care behavior scale(SDSCA)]and quality of life[Kidney disease quality of life scale(KDQOL-SF)]of the two groups were compared.Result:The SAS and SDS scores of the post nursing study group were lower than those of the control group(P<0.05).The PRFS scores in all dimensions in the post nursing study group were lower than those in the control group(P<0.05).The SDSCA scores in all dimensions in the post nursing study group were higher than those in the control group(P<0.05).The KDQOL-SF score in the post nursing study group was higher than that in the control group(P<0.05).Conclusion:Mindfulness cognitive therapy combined with enhanced self-care can improve the psychological state of DN hemodialysis patients,alleviate their fatigue,and improve their self-behavior and quality of life.

关 键 词：糖尿病肾病 血液透析 正念认知疗法 强化自能护理 疲乏状况 自护行为 生活质量 

分 类 号：R473.5[医药卫生—护理学]