正念疗法对血液透析患者自我效能、依从性及生命质量的影响研究

Study on the influence of mindfulness therapy on self-efficacy,compliance and quality of life in hemodialysis patients

目的探讨正念疗法对血液透析患者自我效能、依从性及生命质量的影响。方法选择2017年12月至2019年1月在江西省人民医院接受血液透析治疗的患者94例为研究对象,按照随机数字表法分为对照组和观察组各47例,对照组患者依据医院的流程给予常规护理及医疗干预,观察组患者在对照组基础上给予正念疗法。比较2组患者干预前后的自我效能、生命质量、治疗依从性和干预满意度。结果干预前后对照组患者自我效能评分分别为(1.25±0.18)、(2.32±0.35)分,观察组分别为(1.28±0.14)、(2.97±0.33)分,2组干预前后比较差异均有统计学意义(t值为-18.638、-32.321,P<0.01),2组干预后组间比较差异有统计学意义(t值为-9.264,P<0.01)。观察组的治疗依从性评分为(82.69±13.59)分,高于对照组的(71.53±12.25)分,差异有统计学意义(t值为4.182,P<0.01)。干预前对照组患者的心理状态、生理状态、环境领域、社会关系评分分别为(54.37±8.16)、(50.32±5.54)、(53.28±7.99)、(51.74±6.21)分,观察组分别为(55.03±7.70)、(51.38±6.17)、(53.94±7.01)、(50.88±7.63)分,干预后对照组分别为(62.25±6.85)、(61.22±9.18)、(60.28±7.23)、(55.69±7.80)分,观察组分别为(70.64±8.48)、(71.39±7.85)、(68.04±8.85)、(60.26±6.63)分,2组干预前后比较差异均有统计学意义(t值为-13.739^-2.716,P<0.01),2组干预后组间比较差异有统计学意义(t值为-5.772^-3.060,P<0.01)。对照组的干预满意率为82.98%(39/47),观察组为95.74%(45/47),差异有统计学意义(χ2值为4.029,P<0.05)。结论采用正念疗法干预血液透析患者,有利于提升患者的自我效能水平,改善治疗的依从性,提高生命质量。

Objective To explore the effects of mindfulness therapy on self-efficacy,compliance and quality of life in hemodialysis patients.Methods A total of 94 patients who underwent hemodialysis treatment at Jiangxi Provincial People′s Hospital from December 2017 to January 2019 were selected.Random numbers were used to divide the control group and the observation group including 47 cases respectively.Patients in the control group were given routine care and medical intervention according to the procedures of the hospital.Patients in the observation group were given mindfulness therapy on the basis of the control group.The self-efficacy and quality of life of the two groups of patients were compared before and after intervention.Comparison of treatment compliance and intervention satisfaction between two groups of patients.Results The self-efficacy scores of patients in the control group before and after the intervention were(1.25±0.18)and(2.32±0.35)points.The observation group′s self-efficacy scores were(1.28±0.14)and(2.97±0.33)points,respectively.The difference between the two groups before and after the intervention was statistically significant(t values were-18.638,-32.321,P<0.01).There was a statistically significant difference between the two groups after intervention(t value was-9.264,P<0.01).The treatment compliance score of the observation group was(82.69±13.59)points,which was higher than(71.53±12.25)points of the control group(t value was 4.182,P<0.05).The scores of the psychological status,physiological status,environmental domain,and social relationship of the patients in the control group before the intervention were(54.37±8.16),(50.32±5.54),(53.28±7.99),and(51.74±6.21)points.The observation group was(55.03±7.70),(51.38±6.17),(53.94±7.01),(50.88±7.63)points.The control group after the intervention were(62.25±6.85),(61.22±9.18),(60.28±7.23),and(55.69±7.80)points.The observation group was(70.64±8.48),(71.39±7.85),(68.04±8.85),and(60.26±6.63)points.The differences between the two groups before and after the intervention were statistically significant(t values were-13.739--2.716,P<0.01).The difference between the two groups after intervention was statistically significant(t values were-5.772 to-3.060,P<0.01).The intervention satisfaction rate in the control group was 82.98%(39/47),and the intervention satisfaction rate in the observation group was 95.74%(45/47).The difference was statistically significant(χ2 value was 4.029,P<0.05).Conclusion Intervention of hemodialysis patients with mindfulness therapy is beneficial to improve patients′self-efficacy level,improve treatment compliance,and improve quality of life.