Nephrology Internal Department, Jiading District Central Hospital Affiliated Shanghai University of Medicine & Health Sciences, 201800 Shanghai, China.
Emergency Department, Jiading District Central Hospital Affiliated Shanghai University of Medicine & Health Sciences, 201800 Shanghai, China.
Actas Esp Psiquiatr. 2024 Apr;52(2):138-148. doi: 10.62641/aep.v52i2.1600.
Chronic kidney disease (CKD) patients may experience pessimism, and even despair, due to long-term nature of the condition, which increases the risk of depression. Mindfulness-based stress reduction (MBSR) can relieve depression. This retrospective cohort study aimed to investigate the effects of MBSR on mental health and quality of life in CKD patients with mild-to-moderate depression, so as to provide guidance for clinical nursing programs.
The clinical data of 100 CKD patients with mild-to-moderate depression who were treated in Jiading District Central Hospital Affiliated Shanghai University of Medicine & Health Sciences from January 2021 to March 2023 were retrospectively analyzed. Based on nursing method received, the patients were divided into the conventional group (conventional management) and the MBSR group (MBSR therapy was implemented in addition to conventional management). After matching, there were 35 cases in each group. The scores for the self-rating depression scale (SDS), Connor-Davidson Resilience Scale (CD-RISC), Five-factor Mindfulness Questionnaire (FFMQ), Pittsburgh Sleep Quality Index (PSQI), and 36-item Short Form Health Survey (SF-36) were compared between the two groups.
After management, the SDS and PSQI scores of the MBSR group were lower than those of the conventional group, and the CD-RISC, FFMQ and SF-36 scores were higher than those of the conventional group (p < 0.05).
MBSR can improve the mental health, sleep quality, and quality of life of CKD patients with mild-to-moderate depression, and improve psychological resilience and mindfulness.
慢性肾脏病（CKD）患者由于病情的长期性，可能会感到悲观，甚至绝望，这增加了抑郁的风险。基于正念的减压（MBSR）可以缓解抑郁。本回顾性队列研究旨在探讨 MBSR 对轻度至中度抑郁的 CKD 患者心理健康和生活质量的影响，为临床护理方案提供指导。
回顾性分析 2021 年 1 月至 2023 年 3 月在上海大学医学院附属嘉定区中心医院治疗的 100 例轻度至中度抑郁的 CKD 患者的临床资料。根据所接受的护理方法，患者分为常规组（常规管理）和 MBSR 组（在常规管理的基础上实施 MBSR 治疗）。匹配后，每组各有 35 例。比较两组患者的自评抑郁量表（SDS）、Connor-Davidson 韧性量表（CD-RISC）、五因素正念量表（FFMQ）、匹兹堡睡眠质量指数（PSQI）和 36 项简明健康状况量表（SF-36）评分。
管理后，MBSR 组的 SDS 和 PSQI 评分低于常规组，CD-RISC、FFMQ 和 SF-36 评分高于常规组（p<0.05）。
MBSR 可以改善轻度至中度抑郁的 CKD 患者的心理健康、睡眠质量和生活质量，提高心理韧性和正念水平。
