摘要
目的：探讨心智觉知干预对尿毒症患者心智觉知度、心理健康及生活质量的影响。方法选取2013年1月—2015年7月无锡市第二人民医院肾内科收治的尿毒症住院患者82例，按照随机数字表法将其分为干预组及对照组各41例，对照组给予常规护理，干预组在常规护理基础上实施心智觉知干预，比较两组患者干预前、干预8周后心智觉知度、心理健康状况及生活质量。结果干预前，两组患者心智觉知度分级、症状自评量表（ SCL-90）总分及各因子得分、肾脏疾病生活质量量表（KDQOL-SFTM）评分，差异均无统计学意义（P〉0.05）。干预8周后，干预组患者心智觉知度分级优于对照组；SCL-90中人际关系、躯体化、强迫、抑郁、焦虑、偏执、恐惧、神经质8个因子得分及总分均低于对照组；KDQOL-SFTM评分为（74.22±11.17）分，高于对照组（65.78±10.45）分，差异均有统计学意义（P〈0.05）。结论心智觉知干预对改善尿毒症患者心智觉知度、缓解患者负性心理、提高患者生活质量均具有重要意义。
Objective To analyze effects of mindfulness intervention on mindfulness, psychological health and quality of life for uremia patients. Methods A total of 82 uremia patients in Wuxi No.2 People′s Hospital from January 2013 to July 2015 were randomly assigned to the intervention group （ n=41） and the control group （ n=41）. Patients in the control group were given routine nursing, while patients in the intervention group were given additional mindfulness intervention. The classification of mindfulness, the status of psychological health and quality of life scores after 8 weeks intervention and before the intervention were compared between two groups. Results After 8 weeks′ intervention, the grading state of mindfulness in the intervention group was obviously superior to the control group. The scores of interpersonal relationship, somatization, compulsion, depression, anxiety, crankiness, fear, nervousness and the total score were significantly lower than those of the control group （ P〈0.05） . Quality of life scores in the intervention group （74.22±11.17） was higher than the control group （65.78±10.45）（P〈0.05）.Conclusions Mindfulness-based intervention is conducive to improve mindfulness of uremia patients and reduce patients′ negative mental states and it is of great significance to improve the quality of life.
出处
《中华现代护理杂志》
2016年第30期4347-4351,共5页
Chinese Journal of Modern Nursing
基金
江苏省一级学科重点学科护理学开放基金项目（NYHL201209）
关键词
尿毒症
生活质量
心理健康
心智觉知干预
心智觉知度
Uremia
Quality of life
Psychological health
Mindfulness intervention
Mindfulness
