心智觉知对癌症、尿毒症患者心理干预研究初探
发布时间:2019-03-01 14:10
【摘要】: 对于癌症、尿毒症患者来说,疾病所带来的压力不仅仅是躯体方面、经济方面的,还涉及到心理方面的压力。随着医学治疗模式从单纯的医学模式向生理—心理—社会模式的转变,人们也越来越多的关注到患者的心理健康状况,心智觉知干预方法就是在此背景下出现的,本研究基于此而展开。 研究目的: 1、考察心智觉知注意觉知量表中文版的信度和效度。 2、采用心智觉知干预方法对癌症患者进行干预,考察它是否可以有效地帮助患者更地调节自己的情绪状态,提高心智觉知度,改善患者的心理健康水平。 3、采用心智觉知干预方法对尿毒症患者进行干预,检验它是否可以有效的提高患者的心智觉知度,更好地应对疾病。 研究方法: 1、本研究主要采用Jon Kabat-Zinn发展起来的心智觉知干预方法,结合认知行为干预,对患者进行为期八周的干预。每个患者的干预研究采用个案研究,并且都使用前-后-追踪的实验设计。 2、所选择的测评工具有焦虑自评量表、抑郁自评量表、心智觉知注意觉知量表和睡眠自评量表。 研究结果: 1、心智觉知注意觉知量表中文版在所考察的被试群体中的信度为0.8742,与国外的研究结果一致;与焦虑自评量表和抑郁自评量表的相关度均达到了显著水平,具有良好的效标效度;经过验证性因素分析表明该量表具有良好的结构效度。 2、通过心智觉知干预以后,癌症患者和尿毒症患者的心智觉知度均有明显增加,焦虑、抑郁情绪有所缓解,主观报告结果表明该干预方法可以有效地提高患者的睡眠质量,帮助他们更好地接受疾病,改善患者的社会功能。 结论: 心智觉知可以帮助患者调节情绪状态、心理状态、睡眠状态,提高他们对日常生活事件以及心理活动的觉知水平,帮助他们更好的应对疾病,对患者进行相关的心智觉知干预是非常必要的。
[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.
【学位授予单位】:首都师范大学
【学位级别】:硕士
【学位授予年份】:2009
【分类号】:R395.5
本文编号:2432499
[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.
【学位授予单位】:首都师范大学
【学位级别】:硕士
【学位授予年份】:2009
【分类号】:R395.5
【引证文献】
相关期刊论文 前2条
1 庞娇艳;柏涌海;唐晓晨;罗劲;;正念减压疗法在护士职业倦怠干预中的应用[J];心理科学进展;2010年10期
2 朱婷婷;;第三代行为治疗的核心概念:心智觉知[J];医学与哲学(人文社会医学版);2010年09期
相关硕士学位论文 前5条
1 叶娟;基于觉知的干预训练对大学生情绪智力的影响研究[D];重庆师范大学;2011年
2 赵晓晨;内观禅修对心智觉知与主观幸福感的影响[D];华东师范大学;2011年
3 李晓云;大学生情绪调节自我效能感及其正念干预研究[D];苏州大学;2011年
4 冯秀娟;内观认知疗法对单亲医学生心身症状及心理行为问题干预研究[D];天津医科大学;2010年
5 杨芳友;正念训练对中小学教师心理健康水平的影响效果探究[D];首都师范大学;2012年
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