睡眠认知行为疗法联合正念减压对中青年急性心肌梗死PCI术后患者疾病感知及睡眠质量的影响OA
Effects of Cognitive Behavioral Therapy for Insomnia Combined with Mindfulness-based Stress Reduction on Illness Perception and Sleep Quality in Young and Middle-aged Patients with Acute Myocardial Infarction after Percutaneous Coronary Intervention
目的:睡眠认知行为疗法联合正念减压对中青年急性心肌梗死(AMI)经皮冠状动脉介入治疗(PCI)术后患者疾病感知及睡眠质量的影响.方法:选取2025年6月～2025年10月福建医科大学附属龙岩第一医院收治的108例中青年AMI～PCI术后患者作为研究对象,按照随机数字表法分为对照组和观察组,每组54例.对照组给予常规术后护理干预,观察组基于以上增加睡眠认知行为疗法联合正念减压干预,比较2组干预不同时间的心理状态[采用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)]、疾病感知[简易疾病感知问卷(BIPQ)]、睡眠质量[匹兹堡睡眠质量指数(PSQI)]、自我效能[一般自我效能量表(GSES)]和生命质量[健康调查简表(SF～36)]变化.结果:干预后,2组HAMD评分、HAMA评分、BIPQ总分、PSQI总分均低于干预前,且观察组低于对照组,2组GSES总分、SF～36总分均高于干预前,观察组高于对照组,差异有统计学意义(P＜0.05).结论:中青年AMI-PCI术后患者运用睡眠认知行为疗法联合正念减压干预,能显著改善心理状态、疾病感知、睡眠质量、自我效能和生命质量.
Objective:To investigate the effects of cognitive behavioral therapy for insomnia combined with mindfulness-based stress reduction on illness perception and sleep quality in young and middle-aged patients with acute myocardial infarction after percutaneous coronary intervention.Methods:A total of 108 young and middle-aged patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI)admitted to Longyan First Affiliated Hospital of Fujian Medical University from June 2025 to October 2025 were selected as the study subjects.They were divided into the control group and the observation group according to the random number table method,with 54 cases in each group.The control group received routine postoperative nursing intervention,while the observation group received cognitive behavioral therapy for insomnia combined with mindfulness-based stress reduction on the basis of routine postoperative nursing intervention.The psychological status[Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)],illness perception[Brief Illness Perception Questionnaire(BIPQ)],sleep quality[Pittsburgh Sleep Quality Index(PSQI)],self-efficacy[General Self-Efficacy Scale(GSES)],and quality of life[36-Item Short Form Health Survey(SF-36)]were compared between the two groups at different intervention time points.Results:After the intervention,the HAMD score,HAMA score,total BIPQ score,and total PSQI score in both groups were lower than those before the intervention,and those in the observation group were lower than those in the control group,with statistically significant differ-ences(P＜0.05).The total GSES score and total SF-36 score in both groups were higher than those before the intervention,and those in the observation group were higher than those in the control group,with statistically significant differences(P＜0.05).Conclusion:Cognitive behavioral therapy for insomnia combined with mindfulness-based stress reduction can significantly improve psychological status,illness perception,sleep quality,self-efficacy,and quality of life in young and middle-aged patients with AMI after PCI.
林福金;包梅香;罗清清;邱玮珑
福建医科大学附属龙岩第一医院,龙岩,364000福建医科大学附属龙岩第一医院,龙岩,364000福建医科大学附属龙岩第一医院,龙岩,364000福建医科大学附属龙岩第一医院,龙岩,364000
医药卫生
睡眠认知行为疗法正念减压AMIPCI术后中青年患者疾病感知睡眠质量自我效能生命质量
Cognitive behavioral therapy for insomniaMindfulness-based stress reductionAcute myocardial infarctionPercu-taneous coronary interventionYoung and middle-aged patientsIllness perceptionSleep qualitySelf-efficacyQuality of life
《世界睡眠医学杂志》 2026 (2)
419-421,425,4
龙岩市科技计划项目联合资金项目(龙岩)(2024LYF17079).
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