Mindfulness Therapy On The Quality Of Life Of Elderly Patients With Knee Osteoarthritis

This disease will cause joint swelling and pain in elderly patients,which will aggravate and recur in severe cases,cause mobility disorders and even lose the ability to live independently in elderly patients,and affect the quality of life and mental health of elderly patients.Many problems have been caused by this disease.Become a burden of treatment and has become an important means of intervention.The so-called mindfulness means that we,as individuals,at this moment,focus our consciousness on our own internal and external experience without being criticized,that is,here and now,not criticizing,paying attention to ourselves,and consciously focusing The way of attention.This research mainly adopts the mindfulness therapy proposed by Professor J.Kabat-Zinn,and combines the methods and methods of group work among the three major methods of social work,and intervenes the research subjects through the establishment and development of "mindfulness groups".Explore and try to study the effect of mindfulness therapy on the quality of life of elderly knee osteoarthritis patients,and at the same time provide ideas for how social work can intervene in elderly knee osteoarthritis patients,and expand the application fields of social work practice.Thirty elderly patients with knee osteoarthritis in city Z were tested on the Mindfulness Level Scale and the Quality of Life Scale.The results found that their mindfulness levels were generally not high(M=73.8),and their quality of life was average(M=78.8).By answering the questionnaire,and conducting interviews and exchanges with elderly patients with knee osteoarthritis in City Z,it was found that the main problems of elderly patients with knee osteoarthritis have two aspects: First,the level of mindfulness of elderly patients with knee osteoarthritis is better.Low,lack of proper and correct way of emotional release;Second,the quality of life of elderly patients with knee osteoarthritis is average,and there are many different negative emotions.The two main problems correspond to the main needs in two aspects: first,learn how to properly and correctly perform emotional venting and improve the level of mindfulness;second,build a new social support network.The "mindfulness group" carried out in this study was based on the mindfulness training course taught by Professor J.Kabat-Zinn,and finally selected eight elderly patients with knee osteoarthritis in the S community of Z City as the research objects.The six sensory levels of "body and mind" are trained and combined with group activities.Eight group activities are designed and carried out.The themes of the eight group activities are as follows: approaching the world of mindfulness,eye and vision mindfulness,ears and hearing mindfulness,nose and smell mindfulness,tongue Taste mindfulness,body touch mindfulness,mindfulness meditation mindfulness,mindfulness start a new life.In order to test whether the effectiveness of the intervention can meet expectations,this study used the "Quality of Life Evaluation Scale"(SF-36)and the "Five-factor Mindfulness Awareness Scale"(FFMQ).Before the formal intervention of the client,that is,before the start of the mindfulness group,the baseline measurement method is used to measure the mindfulness level and quality of life of the group members.After the intervention,the mindfulness group is over and the measurement is performed again,and the data before and after the mindfulness training The statistical software SPSS 22.0 performs paired sample T test.The statistical results found that the average score of the post-test mindfulness level of the research subjects reached 96.4,which was significantly higher than the pre-test(M=73.8).There was a significant difference in mindfulness level before and after the mindfulness group activity(t=-11.24;p<.001);The quality of life of the research subjects has also been significantly improved(pre-test M=78.8;post-test M=95.9),and the research subjects’ quality of life levels before and after the mindfulness group activity also showed significant differences(t=-11.13;p<.001).In addition to these data results,the activity goals of the mindfulness group have basically been achieved.The record of changes in the behavior of the research subjects shows that the improvement of the quality of life of aspects: improved self-efficacy,improved interpersonal relationships,and focus on the present Pay attention to yourself to reduce worries about the future,learn to look at problems from an advantageous perspective,improve sleep quality,and learn how to relax by mindfulness meditation.The combined design of mindfulness training and group work is not only practical and feasible,but also superior,showing good intervention effects and benefiting elderly patients with knee osteoarthritis.