正念减压疗法对骨科术后感染者睡眠质量与知觉压力的影响

目的探究正念减压疗法对骨科术后感染者睡眠质量与知觉压力的影响。 方法选取2011年1月至2013年1月本院收治的40例骨科术后感染者为对照组，给予常规健康教育。选取2014年1月至2015年1月本院收治的40例骨科术后感染者为观察组，给予常规教育联合正念减压训练。对比两组患者干预前后的压力知觉评分与睡眠质量评分。 结果干预前观察组和对照组患者的睡眠质量评分总分分别为（12.54±1.33）分和（12.57±1.38）分，差异无统计学有意义（t _{= 1.792，P = 0.069）。干预后观察组和对照组患者的睡眠质量评分总分分别为（6.80±0.78）分和（9.00±0.76）分，差异具有统计学意义（t = 2.429、P = 0.015）。护理干预前观察组和对照组患者的压力知觉评分分别为（39.26±4.68）分和（39.53±4.02）分，差异无统计学有意义（t = 1.583，P = 0.091）。护理干预后观察组和对照组患者的压力知觉评分分别为（34.86±5.02）分和（39.21±3.56）分，差异具有统计学意义（t = 2.035、P = 0.044）。} 结论采用正念减压疗法能够提高骨科术后感染者的睡眠质量，降低压力。

Effects of MBSR therapy with sleep quality and perceived stress of postoperative infection of patients in the department of orthopedics

ObjectiveTo investigate the effects of mindfulness based stress reduction therapy on sleep quality and perceived stress of postoperative infection of patients in the department of orthopedics. MethodsTotal of 40 cases with infection after orthopedic surgery in our hospital were selected as control group, receiving conventional health education from January 2011 to January 2013. Total of 40 cases with infection after orthopedic surgery in our hospital were as observation group, receiving routine education combined with mindfulness training reduced pressure from January 2014 to January 2015. The stress perception score and sleep quality score were compared between the two groups before and after the intervention, respectively. ResultsBefore the intervention, the sleep quality scores of patients in observation group and control group were (12.54±1.33) and (12.57±1.38), respectively, with significant difference (t = 1.792, P = 0.069). After the intervention, the sleep quality scores of patients in observation group and control group were (6.80±0.78) and (9.00±0.76), respectively, with significant difference (t = 2.429, P = 0.015). Before nursing intervention, the perceived stress score of patients in observation group and control group were (39.26±4.68) and (39.53±4.02), without significant difference (t = 1.583, P _{= 0.091). After nursing intervention, the perceived stress score of patients in observation group and control group were (34.86±5.02) and (39.21±3.56), respectively, with significant difference (t = 2.035, P = 0.044).} ConclusionsThe mindfulness based stress reduction therapy could reduce pressure and improve the sleep quality of patients with infection after operation , in the department of orthopedics.