关键词:  , 正念认知疗法, 慢性心力衰竭, 负性情绪, 生活质量, 正念水平

Abstract: Objective:To explore the clinical application effect of mindfulness-based cognitive therapy(MBCT) in patients with chronic heart failure(CHF).Methods:82 CHF patients were divided randomly into study group and control group. The control group was treated with routine nursing, while the study group was treated with MBCT on the basis of the control group. The psychological status and quality of life were assessed by Hamilton depression scale (HAMD-17),Hamilton anxiety rating scale(HAMA), quality of life assessment scale (SF-36) and five-factor mindfulness scale (FFMQ) in two groups before and after treatment. The heart function was detected by using echocardiogram and 6 min walk test (6MWT).Results:Before treatment, indexes of heart function, HAMD-17, HAMA, SF-36 and FFMQ scores had no significant difference between two groups(P>0.05). After treatment, above indexes was improved in two groups. Compared with results of pre-treatment and control group, indexes of heart function, HAMD-17, HAMA, SF-36 and FFMQ scores in study group were significantly better at the end of 8 weeks after treatment (P<0.05).Conclusion:MBCT can effectively improve the negative emotions of CHF patients, enhance their quality of life and the level of mindfulness, thereby promoting clinical and nursing efficacy.

Key words: Mindfulness-based cognitive therapy, Chronic heart failure, Negative emotion, Quality of life, Level of mindfulness