正念减压疗法对下肢动脉硬化闭塞症患者焦虑情绪及睡眠质量的影响

目的下肢动脉硬化闭塞症作为一种下肢缺血性慢性疾病,常常伴有多种并发症,有较高的致残率和致死率,是临床护理工作中的一大难题。评价正念减压疗法对于下肢动脉硬化闭塞症患者焦虑、抑郁情绪及睡眠质量的治疗效果。方法选取2016年9月—2018年6月于杭州市第一人民医院就诊并符合入组标准的下肢动脉硬化闭塞症患者55例,将其按随机数字表法分为干预组(28例)及对照组(27例)。2组患者在接受常规治疗及护理的同时,干预组患者每天早上6:00～7:30固定时间段接受一个半小时的正念减压疗法干预,而对照组患者则在相同时间段保持安静休息状态,总干预时间持续4周。在治疗前、后评估2组患者的焦虑、抑郁情绪及睡眠质量。结果 2组患者人口学资料及治疗前基线焦虑自评量表评分、抑郁自评量表评分、入睡时间、睡眠时间及睡眠效率评分差异无统计学意义(P>0.05)。治疗4周后,干预组患者焦虑自评量表评分、抑郁自评量表评分、入睡时间、睡眠时间及睡眠效率评分显著低于对照组患者(P<0.05)。结论正念减压疗法可有效改善下肢动脉硬化闭塞症患者的焦虑、抑郁情绪,减少其入睡时间,增加其睡眠时间和睡眠效率,改善其睡眠质量,从而能辅助改善患者病情,促进患者康复,提高患者对护理的满意度。

Effect of mindfulness and decompression therapy on anxiety and sleep quality in patients with lower extremity arteriosclerosis obliterans

Objective As a lower limb ischemic chronic disease, lower extremity arteriosclerosis obliterans is often accompanied by a variety of complications, high disability rate and mortality, which is a major problem in clinical nursing work. To evaluate the therapeutic effect of mindfulness decompression therapy on anxiety, depression and sleep quality in patients with lower extremity arteriosclerosis obliterans. Methods A total of 55 patients with lower extremity arteriosclerosis obliterans who met the inclusion criteria were enrolled and randomized into an intervention group (n=28) and a control group (n=27). In the intervention group and the control group, both patients received routine treatment and nursing, and the intervention group received one and a half hours of mind-mining decompression therapy at a fixed time interval of 6:00-7:30 in the morning, while the control group was in the control group. The rest of the period was kept quiet and the total intervention time lasted for 4 weeks. The anxiety, depression and sleep quality of the two groups were evaluated before and after treatment. Results There were no significant differences in demographic data, baseline anxiety self-rating scale, depression self-rating scale score, sleep time, sleep time, and sleep efficiency score between the two groups (P>0.05). After 4 weeks of treatment, the anxiety self-rating scale, depression self-rating scale, sleep time, sleep time and sleep efficiency of the intervention group were significantly lower than those of the control group. The difference between the two groups was statistically significant (P<0.05). Conclusion Mindfulness decompression therapy can effectively improve the anxiety and depression of patients with lower extremity arteriosclerosis obliterans, reduce their sleep time, increase their sleep time and sleep efficiency, improve their sleep quality, and thus help improve the patient's condition and promote the recovery of patients. Improve patient satisfaction with care.