正念减压疗法联合护理对淋巴瘤患者睡眠质量的影响

Effect of Mindfulness Stress Reduction Therapy Combined with Nursing on Sleep Quality of Patients with Lymphoma

目的:探讨正念减压疗法联合护理对淋巴瘤患者睡眠质量的影响。方法:选取2019年2月至2020年8月蚌埠医学院第一附属院收治的淋巴瘤患者116例作为研究对象,按照随机数字表法分为观察组和对照组,每组58例。对照组给予常规护理干预,观察组加用正念减压疗法干预,对比2组疲劳症状、睡眠质量、负性情绪。结果:干预后,在疲劳症状方面,观察组疲劳量表(FS-14)评分明显低于对照组,差异有统计学意义(P<0.05),观察组患者疲劳症状明显改善;在睡眠质量方面,观察组主观睡眠、睡眠效率、睡眠时间、日间功能评分均低于对照组,差异有统计学意义(P<0.05),观察组整体睡眠质量优;在负性情绪方面,相较于对照组,观察组抑郁量表评分-17(HAMD-17)、汉密尔顿焦虑量表(HAMA)评分均更低,差异有统计学意义(P<0.05),观察组抑郁和焦虑负性情绪改善效果更加理想。结论:新发展阶段,临床在给予淋巴瘤患者治疗期间,可在常规护理干预基础上,加用正念减压疗法,该项治疗方案相比于单纯应用常规护理而言,效果更加理想,可明显缓解患者疲劳症状,提升患者睡眠质量,减少其负性情绪,值得临床推广应用。

Objective:To explore the effect of mindfulness-based decompression therapy combined with nursing on sleep quality of patients with lymphoma.Methods:A total of 116 lymphoma patients admitted to the First Affiliated Hospital of Bengbu Medical College from February 2019 to August 2020 were selected as the research objects,and were divided into observation group and control group according to the random number table method,with 58 cases in each group.The control group was given routine nursing intervention,and the observation group was added with mindfulness decompression therapy intervention.The fatigue symptoms,sleep quality and negative emotions of the two groups were compared.Results:After the intervention,the score of fatigue scale(FS-14)in the observation group was significantly lower than that in the control group(P<0.05),and the fatigue symptoms in the observation group were significantly improved.In terms of sleep quality,the subjective sleep,sleep efficiency,sleep time and daytime function scores of the observation group were lower than those of the control group,the difference was statistically significant(P<0.05),and the overall sleep quality of the observation group was excellent;In terms of negative emotions,compared with the control group,the scores of depression scale-17(HAMD-17)and Hamilton Anxiety Scale(HAMA)in the observation group were lower,and the difference was statistically significant(P<0.05).The improvement effect of depression and anxiety negative emotions in the observation group was more ideal.Conclusion:In the new development stage,during the clinical treatment of lymphoma patients,mindfulness decompression therapy can be added on the basis of routine nursing intervention.Compared with the simple application of routine nursing,this treatment scheme has a more ideal effect,which can significantly alleviate the fatigue symptoms of patients,improve the sleep quality of patients,and reduce their negative emotions.It is worthy of clinical promotion and application.