正念减压疗法及心理弹性支持在糖尿病肾病腹膜透析患者中的应用  

Application of mindfulness-based stress reduction therapy and mental resilience support in peritoneal dialysis patients with diabetic nephropathy

作　　者：王华[1] 陈春燕[1] 胡元元 WANG Hua;CHEN Chunyan;HU Yuanyuan(Department of Nephrology,First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院肾内科,450052

出　　处：《中国健康心理学杂志》2025年第4期597-601,共5页China Journal of Health Psychology

基　　金：河南省科技攻关项目(编号:242102310098)。

摘　　要：目的:探讨正念减压疗法及心理弹性支持在糖尿病肾病腹膜透析患者中的应用效果。方法:选择2023年1月至2024年8月于某院接受腹膜透析的80例糖尿病肾病患者,按照随机数表法分组,每组40例。对照组采用常规心理干预,观察组联合正念减压疗法及心理弹性支持干预,均持续干预4周。比较两组空腹血糖(FPG)、餐后2h血糖(2hPG)、肾功能[尿素氮(BUN)、血肌酐(Scr)]、负性情绪[慢性病负性情绪筛查量表(NECIS)]、心理弹性[心理弹性量表中文版(CD-RISC)]及治疗依从性。结果:干预后,观察组FBG、2hPG、BUN、Scr均低于对照组(t=2.178,3.239,8.862,2.538;P<0.05);观察组NECIS评分低于对照组(t=9.669,P<0.05);观察组CD-RISC评分中乐观、自强、坚韧及总分均高于对照组(t=5.507,9.615,4.925,6.356;P<0.05);观察组治疗总依从率高于对照组(χ^(2)=5.000,P<0.05)。结论:正念减压疗法及心理弹性支持在糖尿病肾病腹膜透析患者中的应用效果满意,可有效改善患者负性情绪、心理弹性,并提高患者治疗依从性,促进血糖、肾功能指标恢复。Objective:To investigate the effect of mindfulness-based stress reduction therapy and mental resilience support on peritoneal dialysis patients with diabetic nephropathy.Methods:A total of 80 diabetic nephropathy patients who received peritoneal dialysis in our hospital from January 2023 to August 2024 were selected,and they were divided into 40 patients in each group.The control group was treated with conventional psychological intervention,and the observation group was treated with mindfulness-based stress reduction therapy and psychological resilience support intervention,all of which lasted for 4 weeks.The fasting blood glucose(FPG),2h postmeal blood glucose(2hPG),renal function[urea nitrogen(BUN),serum creatinine(Scr)],negative emotion[Chronic Negative Emotion Screening Scale(NECIS)],mental resilience[Chinese version of Mental Resilience Scale(CD-RISC)]and treatment compliance were compared between the two groups.Results:After intervention,compared with control group,the FBG,2hPG,BUN and Scr in the observation group were lower(t=2.178,3.239,8.862,2.538;P<0.05);Compared with control group,the NECIS score in observation group was lower(t=9.669,P<0.05),the Optimism,self-reliance,tenacity and total scores of CD-RISC in observation group were higher(t=5.507,9.615,4.925,6.356;P<0.05),the total compliance rate of the observation group was higher(χ^(2)=5.000,P<0.05).Conclusion:The application of mindfulness-based stress reduction therapy and mental resilience support in diabetic nephropathy peritoneal dialysis patients is satisfactory,which can effectively improve patients'negative emotions and mental resilience,improve patients'treatment compliance,and promote the recovery of blood sugar and kidney function indicators.

关 键 词：糖尿病肾病 腹膜透析 正念减压疗法 心理弹性 治疗依从性 负性情绪 

分 类 号：R395.5[哲学宗教—心理学] R749.92[医药卫生—医学心理学]