摘要
目的:探讨正念认知疗法对慢性心力衰竭患者心理状态和生活质量的临床应用效果。方法:将82例慢性心力衰竭患者随机分为研究组和对照组,对照组采用常规护理,研究组在对照组基础上给予正念认知疗法,采用汉密尔顿抑郁量表17项(HAMD-17)、汉密尔顿焦虑量表(HAMA)、生活质量评价量表(SF-36)及五因素正念量表(FFMQ)对两组患者治疗前后的心理状态及生活质量进行评估,并借助超声心动图及6min步行试验对心功能进行评估。结果:治疗前,两组患者的心功能指标、HAMD-17、HAMA、SF-36及FFMQ评分比较均差异无统计学意义(P>0.05);治疗8周后,两组患者的各项指标均有改善,且研究组的心功能指标、HAMD-17、HAMA、SF-36及FFMQ评分均优于对照组,差异有统计学意义(P<0.05)。结论:正念认知疗法能够有效改善慢性心力衰竭患者的不良情绪,提高其生活质量及正念水平,从而提升临床治疗和护理效果。
Objective:To explore the clinical application effect of mindfulness-based cognitive therapy(MBCT)in patients with chronic heart failure(CHF).Methods:82 CHF patients were divided randomly into study group and control group.The control group was treated with routine nursing,while the study group was treated with MBCT on the basis of the control group.The psychological status and quality of life were assessed by Hamilton depression scale(HAMD-17),Hamilton anxiety rating scale(HAMA),quality of life assessment scale(SF-36)and five-factor mindfulness scale(FFMQ)in two groups before and after treatment.The heart function was detected by using echocardiogram and 6 min walk test(6MWT).Results:Before treatment,indexes of heart function,HAMD-17,HAMA,SF-36 and FFMQ scores had no significant difference between two groups(P>0.05).After treatment,above indexes was improved in two groups.Compared with results of pre-treatment and control group,indexes of heart function,HAMD-17,HAMA,SF-36 and FFMQ scores in study group were significantly better at the end of 8 weeks after treatment(P<0.05).Conclusion:MBCT can effectively improve the negative emotions of CHF patients,enhance their quality of life and the level of mindfulness,thereby promoting clinical and nursing efficacy.
作者
赵明慧
ZHAO Minghui(Tianjin Fifth Central Hospital,Tianjin 300457)
出处
《天津护理》
2019年第5期529-533,共5页
Tianjin Journal of Nursing
关键词
正念认知疗法
慢性心力衰竭
负性情绪
生活质量
正念水平
Mindfulness-based cognitive therapy
Chronic heart failure
Negative emotion
Quality of life
Level of mindfulness
