团体认知行为干预对维持性血液透析患者抑郁的研究  

The Application of Group Cognitive-behavioral Intervention on Depression of Patients Recieved Maintenance Hemodialysis

作　　者：周桂霞[1] 张金艳[1] 李国荣[1] 

机构地区：[1]中国.河北联合大学附属医院,唐山063000

出　　处：《中国健康心理学杂志》2012年第11期1698-1699,共2页China Journal of Health Psychology

摘　　要：目的探讨团体认知行为干预对维持性血液透析伴有抑郁患者的应用价值。方法选取在我院血透室进行维持性血液透析治疗的终末期肾病患者60例,随机分为观察组与对照组各30例,对照组给予常规护理,观察组给予团体认知行为干预,干预前后采用Zung抑郁自评量表(SDS)及焦虑自评量表(SAS)对患者进行评分,并在两组间进行对比。结果观察组干预后SDS、SAS评分均显著低于干预前(t=5.1372,P=0.0000;t=7.6616,P=0.0000),且显著低于对照组(t=3.2612,P=0.0019;t=5.1975,P=0.0000);对照组干预前后差异无统计学意义(t=1.7392,P=0.0873;t=1.8691,P=0.0667)。结论团体认知行为干预可显著改善MHD抑郁患者的心理状态。Objective To investigate the clinical value of the application of group cognitive-behavioral intervention on depression of patients received maintenance hemodialysis.Methods A total of 60 patients with end-stage renal disease received maintenance hemodialysis were randomly divided into the observation group（30 cases）and the control group（30 cases）.The control group received routine care,and the observation group received group cognitive-behavioral intervention,Zung self-rating depression scale（SDS）and Self-rating Anxiety Scale（SAS）score of patients before and after intervention were compared.Results The SDS and SAS scores of the observation group after the intervention were significantly lower than those before the intervention（t=5.1372,7.6616;P=0.0000）,and significantly lower than those of the control group（t=3.2612,P=0.0019;t=5.1975,P=0.0000）.There were no significantly differences between before and after intervention in the control group（t=1.7392,P=0.0873;t=1.8691,P=0.0667）.Conclusion Group cognitive-behavioral intervention can significantly improve the psychological state of depression in patients received maintenance hemodialysis.

关 键 词：团体认知行为干预 维持型血液透析 抑郁 心身医学 

分 类 号：R459.5[医药卫生—治疗学]