Mindfulness-based Stress Reduction Practice For The Sleep Quality Of Patients With Spinal Cord Injury After Operation

Objective:To describe the situation of sleep quality in patients with spinal cord injury after operation.To explore the effect of mindfulness-based stress reduction practice on sleep quality of patients with spinal cord injury after operation.Methods:This study was a randomized controlled trial.A total of 100 postoperative patients with spinal cord injury who were hospitalized at the First Hospital of Jilin University from January 1,2018 to December 31,2018 were selected as the study subjects.The subjects were randomly divided into trial group and control group by computer.The control group was given routine sleep education.The trial group was given 6 weeks of mindfulness-based stress reduction practice and routine sleep education.Patients were measured before the intervention,after the intervention,and one month after the intervention using Cardiopulmonary coupling analysis,Pittsburgh Sleep Quality Index,Patient Health Questionnaire-9,Generalized Anxiety Disorder-7.Results:1.A total of 90 patients were collected.45 patients were randomized to the trial group and 45 patients were randomized to the control group.Sleep disorders mainly showed the shorter sleep time(2.1h),the longer light sleep time(4.2h),the longer awakening time(1.25 hour)and the more sleep apneas(70%).The total score of PSQI was(11.38±2.91).The incidence of sleep disorders,depressive symptoms and anxiety in this study were 96.67 %,90%,and 66.67%.The severity of sleep disorders was mild(37.78%)and moderate(52.22%).The severity of depression was moderate(37.78%).The severity of anxiety was mild(37.78%).2.The results of repeated measures analysis of variance showed that the group-by-time effects of the CPC monitoring results,PSQI dimensions,depression and anxiety scores were statistically significant(P<0.05).But the main effect of awakening time and hypnotic time was not statistically significant(P>0.05).After the intervention,the first sleep time in the CPC of the trial group were significantly different from those of the control group(P<0.05).The scores of subjective sleep quality,sleep time,sleep disturbance,daytime dysfunction and the total score in the PSQI were lower than those in the control group(P<0.05).The depression and anxiety scores of the trial group were lower than those of the control group.(P<0.05).One month after the intervention,the deep sleep time,the light sleep time,and the wake time and the first sleep time in the CPC of the trial group were significantly different from those of the control group(P<0.05).The subjective sleep quality,the sleep time,sleep disturbance,daytime dysfunction and the total score of PSQI were lower than the control group(P<0.05).3.There was a significant positive correlation among the severity of sleep disorders,anxiety and depression(P<0.001).The correlation coefficient between sleep disorders and depression was 0.684.The correlation coefficient between sleep disorders and anxiety was 0.613.Conclusion:1.The severity of sleep disorders of patients with spinal cord injury after operation are mainly mild and moderate,the degree of depression is moderate,and the degree of anxiety is mild.2.The mindfulness-based stress reduction practice can improve the objective indicators such as sleeping time,light sleep time,awakening time and first sleep time effectively,and subjective sleep such as the subjective sleep quality,sleep time,sleep disorders,daytime dysfunction,PSQI total score.It can improve the depressive symptoms and anxiety in patients with spinal cord injury after operation.The mindfulness-based stress reduction practice can effectively improve the sleep quality of postoperative patients with spinal cord injury.3.Sleep disorders in patients with spinal cord injury after operation were significantly positive correlated with depression and anxiety.