正念减压疗法对腹膜透析患者的影响  

Effect of mindfulness-based stress reduction therapy on patients with peritoneal dialysis

作　　者：孟永丽 张俊玲[2] MENG Yongli;ZHANG Junling(Department of Infectious Diseases,First Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650032,China;Department of Nephrology,First Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650032,China)

机构地区：[1]昆明医科大学第一附属医院感染性疾病科,云南昆明650032 [2]昆明医科大学第一附属医院肾内科,云南昆明650032

出　　处：《云南医药》2025年第1期66-68,共3页Medicine and Pharmacy of Yunnan

基　　金：云南省教育厅科学研究基金项目(2024J0220);云南省慢性肾病临床医学研究中心项目(202102AA100060)。

摘　　要：目的探讨正念减压疗法对腹膜透析病人不良心理与自我管理能力的影响。方法选取2022年11月-2024年11月在昆明医科大学第一附属医院肾内科进行腹膜透析的160例患者,随机平均分为对照组和观察组。对照组采用常规的心理护理的方法,观察组在传统心理护理的基础上加用正念减压疗法。2组患者均于干预前及干预后第8周末接受抑郁与焦虑评分、自我效能问卷测评并比较。结果观察组患者的抑郁与焦虑评分低于对照组,差异有统计学意义(P<0.05);观察组患者的自我管理能力各维度评分和护理满意度均高于对照组,差异均有统计学意义(P<0.05)。结论传统心理护理加正念减压疗法干预腹膜透析患者,优于单一传统心理护理干预,有益于改善患者的抑郁、焦虑心理,减轻自我感知负担,提升患者的自我管理能力。Objective To investigate the effect of mindfulness-based stress reduction(MBSR)therapy on negative emotions and self-management ability of peritoneal dialysis patients.Methods A total of 160 patients underwent peritoneal dialysis in the Nephrology Department of the First Affiliated Hospital of Kunming Medical University from November 2022 to November 2024 were selected and randomly equally divided into the control group and the observation group.The control group was treated with conventional psychological nursing method,and the observation group was treated with mindfulness-based stress reduction therapy on the basis of traditional psychological nursing.Both groups received depression and anxiety score and self-efficacy questionnaires before intervention and at the end of the eighth week after intervention.Results The depression and anxiety the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05);The scores of self-management ability and nursing satisfaction of patients in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusions Traditional psychological nursing combined with MBSR therapy is superior to single traditional psychological nursing intervention in patients with peritoneal dialysis,which is beneficial to improving patients depression and anxiety,reduce the self-perceived burden,and promote the self-management ability of patients.

关 键 词：正念疗法 腹膜透析 不良情绪 自我管理能力 

分 类 号：R692.5[医药卫生—泌尿科学] R493[医药卫生—外科学]