冥想松弛疗法对肾部分切除术患者负性情绪、睡眠质量与生活质量的影响

Effect of meditation relaxation therapy on negative emotion,sleep quality and quality of life in patients undergoing partial nephrectomy

目的 探讨冥想松弛疗法对肾部分切除术患者负性情绪、睡眠质量与生活质量的影响。方法 选取2018年1—12月于我院行肾部分切除术治疗的96例肾脏疾病患者为研究对象,将其随机等分为对照组和观察组,对照组实施常规护理,观察组在对照组基础上采用冥想松弛疗法。比较干预前后两组患者负性情绪、睡眠质量及生活质量。结果 干预后3个月,两组患者心境状态量表中慌乱、抑郁、疲劳、紧张、愤怒维度评分均低于干预前(P<0.05),精力、自尊感维度评分均高于干预前(P<0.05);观察组慌乱、抑郁、疲劳、紧张、愤怒维度评分均低于对照组(P<0.05),精力、自尊感维度评分均高于对照组(P<0.05)。干预后3个月,两组患者睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物和日间功能障碍评分及总分均低于干预前(P<0.05);观察组睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物和日间功能障碍评分及总分均低于对照组(P<0.05)。干预后3个月,两组患者角色功能、情感功能、社会功能、躯体功能、认知功能评分均高于干预前(P<0.05);观察组角色功能、情感功能、社会功能、躯体功能、认知功能评分均高于对照组(P<0.05)。结论 冥想松弛疗法能够有效改善肾部分切除术患者负性情绪状态、睡眠质量及生活质量,值得临床推广。

Objective To explore the effect of meditation relaxation therapy on negative emotion, sleep quality and quality of life in patients undergoing partial nephrectomy. Methods To select 96 patients with renal disease who underwent partial nephrectomy in our hospital from January 2019 to December 2018 as the study subjects. They were divided into control group and observation group with the same number of patients randomly. The control group was given routine nursing, while based on this, the observation group was treated with meditation relaxation therapy. The negative mood, sleep quality and quality of life among the patients in the two groups were compared before and after intervention. Results After 3 months of intervention, the scores of panic, depression, fatigue, stress and anger in the mood state scale of the two groups were lower than those before the intervention( P <0.05). The scores of energy and self-esteem were higher than those before the intervention( P <0.05). After 3 months of intervention, the scores of panic, depression, fatigue, stress and anger in the observation group were lower than those in the control group( P <0.05).The scores of energy and self-esteem were higher than those in the control group( P <0.05). After 3 months of intervention, the sleep quality, sleep time, sleep period, sleep efficiency, sleep disturbance, hypnotic and daytime dysfunction scores as well as total scores of the two groups were lower than those before the intervention( P <0.05). After 3 months of intervention, the sleep quality, sleep time, sleep period, sleep efficiency, sleep disturbance, hypnotic and daytime dysfunction scores as well as total scores in the observation group were lower than those in the control group( P <0.05). After 3 months of intervention, the scores of role function, emotional function, social function, physical function, and cognitive function of the two groups were higher than that before the intervention( P <0.05).After 3 months of intervention, the scores of role function, emotional function, social function, physical function, and cognitive function in the observation group were higher than those in the control group( P <0.05). Conclusion Meditation and relaxation therapy can improve the negative emotional state, sleep quality and quality of life in patients with partial nephrectomy effectively,which was worthy of clinical promotion.