基于“元认知”的正念认知疗法改善子宫肌瘤切除手术患者自我效能及自我护理能力的作用  

The effect of mindfulness-based cognitive therapy based on"metacognition"on improving self-efficacy and self-care ability of patients undergoing hysteromyomectomy

作　　者：李静 徐靓 王章波[3] LI Jing;XU Liang;WANG Zhangbo(Department of Obstetrics and Gynecology,Leping People's Hospital,Jingdezhen,Jiangxi,333300,China;Department of Physical Examination,Leping People's Hospital,Jingdezhen,Jiangxi,333300,China;Department of Neurology,Leping People's Hospital,Jingdezhen,Jiangxi,333300,China)

机构地区：[1]乐平市人民医院妇产科,江西景德镇333300 [2]乐平市人民医院体检科,江西景德镇333300 [3]乐平市人民医院神经内科,江西景德镇333300

出　　处：《当代医学》2024年第34期163-166,共4页Contemporary Medicine

摘　　要：目的探讨基于“元认知”的正念认知疗法(mindfulness-based cognitive therapy,MBCT)改善子宫肌瘤切除术手术患者自我效能及自我护理能力的作用。方法选取2021年1月至2024年1月于乐平市人民医院行子宫肌瘤切除手术且有心理需求的90例患者作为研究对象,按照随机数字表法分为对照组与观察组,每组45例。对照组采用传统教育模式干预,观察组在对照组基础上采用基于“元认知”的MBCT模式干预。比较两组康复指标及干预前后心理状况、认知水平、自我效能、自我护理能力。结果观察组清醒、下床活动及住院时间均短于对照组,并发症发生率低于对照组,差异有统计学意义(P<0.05);干预后,两组焦虑自评量表、抑郁自评量表评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);干预后,两组认知水平评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);干预后,两组自我效能感量表评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);干预后,两组自我责任感、自我概念、自我护理技能、健康知识水平评分及总分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论基于“元认知”的MBCT可促进子宫肌瘤切除术患者术后康复,改善其心理状况、认知水平,提高自我效能及自我护理能力,值得临床推广应用。Objective To explore the effect of mindfulness-based cognitive therapy(MBCT)based on"metacognition"on improving self-efficacy and self-care ability of patients undergoing hysteromyomectomy.Methods A total of 90 patients with psychological needs who undergoing hysteromyomectomy in Leping People's Hospital from January 2021 to January 2024 were selected as the research subjects,and they were divided into the control group and the observation group according to random number table method,with 45 cases in each group.The control group was treated with traditional education mode,and the observation group was treated with MBCT mode based on"metacognition".The rehabilitation indexes,psychological status,cognitive level,self-efficacy and self-care ability before and after intervention were compared between the two groups.Results The waking,getting out of bed and hospitalization time in the observation group were shorter than those in the control group,and the incidence of complications was lower than that in the control group,the differences were statistically significant(P<0.05).After intervention,the scores of self-rating anxiety scale and self-rating depression scale of the two groups were lower than before intervention,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).After intervention,the cognitive level scores of the two groups were higher than before intervention,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).After intervention,the scores of self-efficacy scale of the two groups were higher than before intervention,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).After the intervention,the scores and total scores of self-responsibility,self-concept,self-care skills,health knowledge level of the two groups were higher than before the intervention,and the observation group was higher than the control group,the difference

关 键 词：子宫肌瘤切除手术 正念认知疗法 元认知 自我效能 自我护理能力 

分 类 号：R47[医药卫生—护理学]