CAJ | 학술논문

目的：探讨正念锻炼对慢性肾病患者睡眠质量的影响，为改善患者的睡眠质量提供临床依据。方法选取2013年1月—2014年1月收治的慢性肾病患者60例随机分为研究组和对照组，每组30例。对照组患者均给予常规护理，研究组在常规护理基础上给予正念锻炼，包括躯体扫描技术、觉知散步、觉知呼吸锻炼和吃葡萄干练习，治疗前和治疗2个月后采用匹兹堡睡眠质量指数量表（ PSQI ）评估患者睡眠质量。结果干预前两组患者PSQI各因子评分与总分比较差异无统计学意义（ P＞0．05）。干预后研究组患者睡眠时间、睡眠质量、入睡时间、睡眠效率、日间功能评分与总分分别为（1．31±0．32），（0．78±0．35），（1．09±0．35），（1．15±0．31），（0．53±0．17），（6．68±0．62）分，分别低于对照组，差异有统计学意义（t值分别为3．130，3．921，3．843，3．114，2．996，8．564；P＜0．01）。结论正念锻炼可改善慢性肾病患者睡眠质量，效果显著。
목적：탐토정념단련대만성신병환자수면질량적영향，위개선환자적수면질량제공림상의거。방법선취2013년1월—2014년1월수치적만성신병환자60례수궤분위연구조화대조조，매조30례。대조조환자균급여상규호리，연구조재상규호리기출상급여정념단련，포괄구체소묘기술、각지산보、각지호흡단련화흘포도간연습，치료전화치료2개월후채용필자보수면질량지수량표（ PSQI ）평고환자수면질량。결과간예전량조환자PSQI각인자평분여총분비교차이무통계학의의（ P＞0．05）。간예후연구조환자수면시간、수면질량、입수시간、수면효솔、일간공능평분여총분분별위（1．31±0．32），（0．78±0．35），（1．09±0．35），（1．15±0．31），（0．53±0．17），（6．68±0．62）분，분별저우대조조，차이유통계학의의（t치분별위3．130，3．921，3．843，3．114，2．996，8．564；P＜0．01）。결론정념단련가개선만성신병환자수면질량，효과현저。
Objective To investigate the influence of mindfulness exercises on sleep quality for patients with chronic kidney disease , and to provide clinical basis for improving the sleep quality of the patients . Methods Totals of 60 patients with chronic kidney disease were selected from January 2013 to January 2014 in our hospital , and randomly divided them into the research group and the control group , with 30 cases in each . The two groups of patients were given routine nursing care , besides the research group was given mindfulness exercises on the basis of conventional nursing , including body scanning technology , walking, breathing exercise awareness and awareness to eat raisins practice , etc.Patients’ sleep quality was evaluated by PSQI scale before and after 2 months treatment and the results obtained by the statistical analysis were compared .Results Before the intervention, the scores of each factor and total score had no statistically significant difference (P>0.05). After the intervention, the scores of sleep time, sleep quality, time to fall asleep, sleep efficiency, daytime function and the total score of the research group were (1.31 ±0.32),(0.78 ±0.35),(1.09 ±0.35), (1.15 ±0.31), (0.53 ±0.17) and (6.68 ±0.62), which were significantly lower than those of control group (t=3.130, 3.921, 3.843, 3.114, 2.996, 8.564, respectively;P <0.01).Conclusions Mindfulness exercise can remarkably improve the sleep quality of patients with chronic kidney disease .