正念减压训练联合自我赋权理论干预对维持性血液透析伴睡眠障碍患者的影响

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AbstractObjective：Toinvestigatetheefectsofmindfulness basedstressreductiontrainingcombinedwithself-empowerment theoryinterventiononsleepqualityinmaintenance hemodialysispatientswith sleepdisorders.Methods：Atotalof86patients with maintenancehemodialysisandsleepdisordersadmitedtotheNephrologyDepartmentof theFirstAfiliated Hospitalof Bengbu Medical UniversitybetwenJanuary2O22-andSeptember2O24 wereselectedasthestudysubjects.Theywererandomlydivided intoacontrolgroupandanobservationgroupusingarandomnumbertablemethod，with43patients ineachgroup.Thecontrol groupreceivedroutine nursing intervention，whiletheobservationgroupreceivedmindfulness based stressreduction trainingcombined with self empowermenttheory interventiononthebasisof thecontrol group.ThePitsburghSleepQualityIndex（PSQl）was usedto compare thediferencesinsleepqualitybetween two groups.The Insomnia Severity Index（ISI）scale wasused to evaluate theseverity of insomnia inthe two groups of patients.TheDepresion Anxiety Stres Self Rating Scale（DASS）wasused to evaluatethe negative emotions of the two groups，and the Self Perceived Burden Scale（SPBS）was used to evaluate the self perceived burden f thetwo groups.Results：Afterintervention，thescores of PSQIandISIscores，DASSand SPBS scores ofboth groups decreased，ndthebservationgoupassignifcantlylowertantheontrolgroup.Thediferencebetweenthetwogroupswasstatistically significant （ P<0.05 ）.Conclusion：Positive mindfulness stress reduction training combined with self empowerment theory interventioncanimprovethesleepqualityofmaintenancehemodialysispatientswithsleepdisorders，allviatenegativemotions， reduce the severity of insomnia and self perceived burden.

KeywordsMaintenance hemodialysis； Slpdisorders； Positive Mindfulnesstress reduction training；Selfempowermenttheory nursing；Sleep quality；Self perceived burden； Insomnia；Negative emotions

中图分类号：R459.5;R338.63 文献标识码：A doi：10.3969/j. issn.2095 -7130.2025.04.057

维持性血液透析作为终末期肾病患者的肾脏替代疗法，能够清除体内代谢废物、维持水和电解质平衡。（剩余5261字）