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心智覺知對癌癥、尿毒癥患者心理干預(yù)研究初探

發(fā)布時(shí)間:2019-03-01 14:10
【摘要】: 對于癌癥、尿毒癥患者來說,疾病所帶來的壓力不僅僅是軀體方面、經(jīng)濟(jì)方面的,還涉及到心理方面的壓力。隨著醫(yī)學(xué)治療模式從單純的醫(yī)學(xué)模式向生理—心理—社會(huì)模式的轉(zhuǎn)變,人們也越來越多的關(guān)注到患者的心理健康狀況,心智覺知干預(yù)方法就是在此背景下出現(xiàn)的,本研究基于此而展開。 研究目的: 1、考察心智覺知注意覺知量表中文版的信度和效度。 2、采用心智覺知干預(yù)方法對癌癥患者進(jìn)行干預(yù),考察它是否可以有效地幫助患者更地調(diào)節(jié)自己的情緒狀態(tài),提高心智覺知度,改善患者的心理健康水平。 3、采用心智覺知干預(yù)方法對尿毒癥患者進(jìn)行干預(yù),檢驗(yàn)它是否可以有效的提高患者的心智覺知度,更好地應(yīng)對疾病。 研究方法: 1、本研究主要采用Jon Kabat-Zinn發(fā)展起來的心智覺知干預(yù)方法,結(jié)合認(rèn)知行為干預(yù),對患者進(jìn)行為期八周的干預(yù)。每個(gè)患者的干預(yù)研究采用個(gè)案研究,并且都使用前-后-追蹤的實(shí)驗(yàn)設(shè)計(jì)。 2、所選擇的測評工具有焦慮自評量表、抑郁自評量表、心智覺知注意覺知量表和睡眠自評量表。 研究結(jié)果: 1、心智覺知注意覺知量表中文版在所考察的被試群體中的信度為0.8742,與國外的研究結(jié)果一致;與焦慮自評量表和抑郁自評量表的相關(guān)度均達(dá)到了顯著水平,具有良好的效標(biāo)效度;經(jīng)過驗(yàn)證性因素分析表明該量表具有良好的結(jié)構(gòu)效度。 2、通過心智覺知干預(yù)以后,癌癥患者和尿毒癥患者的心智覺知度均有明顯增加,焦慮、抑郁情緒有所緩解,主觀報(bào)告結(jié)果表明該干預(yù)方法可以有效地提高患者的睡眠質(zhì)量,幫助他們更好地接受疾病,改善患者的社會(huì)功能。 結(jié)論: 心智覺知可以幫助患者調(diào)節(jié)情緒狀態(tài)、心理狀態(tài)、睡眠狀態(tài),提高他們對日常生活事件以及心理活動(dòng)的覺知水平,幫助他們更好的應(yīng)對疾病,對患者進(jìn)行相關(guān)的心智覺知干預(yù)是非常必要的。
[Abstract]:For cancer, uremia patients, the stress of disease is not only physical, economic, but also psychological. With the transformation of medical treatment model from simple medical model to physiological-psychological-social model, people pay more and more attention to the mental health of patients, and mental awareness intervention methods appear in this context. This study is based on this. Objective: 1. To investigate the reliability and validity of the Chinese version of Mental Awareness and attention Awareness scale. 2. Using mental awareness intervention method to investigate whether it can effectively help patients to regulate their emotional state, improve mental perception, and improve the level of mental health of the patients. 2) to investigate whether it can effectively help the patients to regulate their emotional state, improve their mental health, and improve the mental health level of the patients. 3, using mental awareness intervention method to intervene uremia patients, to test whether it can effectively improve the patient's mental perception and deal with the disease better. Methods: 1. Mental awareness intervention developed by Jon Kabat-Zinn, combined with cognitive behavior intervention, was used to intervene patients for eight weeks. 2. Case studies were used for each patient intervention study, and pre-post-follow-up design was used. 2. The self-rating anxiety scale (SAS), self-rating Depression scale (SDS), Mental Awareness and attention Awareness scale and Sleep self-rating scale (Sleep self-rating scale) were selected. The results were as follows: (1) the reliability of the Chinese version of the Mental Awareness and attention Awareness scale was 0.8742, which was consistent with the results of foreign research; The correlation degree with self-rating anxiety scale (SAS) and self-rating Depression scale (SDS) both reached a significant level and had a good standard validity, and the confirmatory factor analysis showed that the scale had a good structural validity. 2. After mental awareness intervention, the mental perception of cancer patients and uremia patients were significantly increased, anxiety and depression were alleviated. The results of subjective report showed that the intervention could effectively improve the sleep quality of the patients, and the results of subjective report showed that the intervention could effectively improve the sleep quality of the patients with cancer and uremia. Help them to better accept the disease and improve the social function of the patients. Conclusion: mental awareness can help patients adjust emotional state, mental state, sleep state, improve their awareness of daily life events and psychological activities, and help them better cope with the disease. It is necessary to intervene in patients' mental awareness.
【學(xué)位授予單位】:首都師范大學(xué)
【學(xué)位級別】:碩士
【學(xué)位授予年份】:2009
【分類號(hào)】:R395.5

【引證文獻(xiàn)】

相關(guān)期刊論文 前2條

1 龐嬌艷;柏涌海;唐曉晨;羅勁;;正念減壓療法在護(hù)士職業(yè)倦怠干預(yù)中的應(yīng)用[J];心理科學(xué)進(jìn)展;2010年10期

2 朱婷婷;;第三代行為治療的核心概念:心智覺知[J];醫(yī)學(xué)與哲學(xué)(人文社會(huì)醫(yī)學(xué)版);2010年09期

相關(guān)碩士學(xué)位論文 前5條

1 葉娟;基于覺知的干預(yù)訓(xùn)練對大學(xué)生情緒智力的影響研究[D];重慶師范大學(xué);2011年

2 趙曉晨;內(nèi)觀禪修對心智覺知與主觀幸福感的影響[D];華東師范大學(xué);2011年

3 李曉云;大學(xué)生情緒調(diào)節(jié)自我效能感及其正念干預(yù)研究[D];蘇州大學(xué);2011年

4 馮秀娟;內(nèi)觀認(rèn)知療法對單親醫(yī)學(xué)生心身癥狀及心理行為問題干預(yù)研究[D];天津醫(yī)科大學(xué);2010年

5 楊芳友;正念訓(xùn)練對中小學(xué)教師心理健康水平的影響效果探究[D];首都師范大學(xué);2012年

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