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| Effects of mindfulness based cognitive therapy on quality of life and sleep status in end-stage renal disease patients with renal transplantation |
| CHEN Ping |
| Ward 2, Department of Urology, the First Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150010, China |
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Abstract Objective To explore the effects of mindfulness based cognitive therapy (MBCT) on quality of life and sleep status in end-stage renal disease patients with renal transplantation. Methods 60 patients with end-stage renal disease underwent renal transplantation from January 2011 to January 2017 in the First Affiliated Hospital of Harbin Medical University were divided into observation group and control group according to random number table, with 30 cases in each group. The patients in control group were treated by routine nursing, and the patients in observation group were treated by MBCT based on the routine nursing. Before nursing and one month after nursing, self-rating depression scale (SDS) and self-rating anxiety scale (SAS) were used to evaluate the emotion of anxiety and depression in two groups; after one month nursing, the Pittsburgh sleep quality index scale (PSQI) was used to evaluate sleep status in two groups patients. And the scale of quality of life in emotional function, physical function, social function, role function score and quality of life were evaluated. Results One month after nursing, the SDS score and SAS score in observation group were significantly decreased, only SAS score in control group was significantly decreased; and the SDS score and SAS score in the observation group were decreased more than those in the control group, with statistically significant difference (P < 0.01); the PSQI score and total score in the observation group were lower than those in the control group, with statistically significant difference (P < 0.01); the score of emotional function, physical function, social function, role function and overall quality of life in the observation group were significantly higher than those in the control group, with statistically significant difference (P < 0.05). Conclusion MBCT can alleviate depression and anxiety, improve sleep quality, and improve the quality of life in patients with end-stage renal disease underwent renal transplantation.
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