集体心理治疗对维持性血液透析患者焦虑抑郁情绪、疲乏及希望水平的影响  

Effect of group psychotherapy on anxiety,depression,fatigue and hope level of maintenance hemodialysis patients

作　　者：李丽 朱桂萍 贾西姣 李瑞 LI Li;ZHU Guiping;JIA Xijiao(Nursing Department of Zhengzhou Hospital of Traditional Chinese Medicine,Zhengzhou 450007,China)

机构地区：[1]河南省郑州市中医院护理部,450007 [2]郑州市中医院肾病风湿科

出　　处：《中国健康心理学杂志》2021年第7期1037-1041,共5页China Journal of Health Psychology

摘　　要：目的:探究集体心理治疗对维持性血液透析患者焦虑抑郁情绪、疲乏及希望水平的影响。方法:选取2018年12月-2019年12月某院收治的维持性血液透析患者130例。按照随机数字表法分为对照组(n=65)和观察组(n=65),对照组患者行常规心理治疗,观察组患者行集体干预治疗。比较两组患者焦虑抑郁情绪[焦虑自评量表(Self-rating anxiety scale,SAS)和抑郁自评量表(Self-rating depression scale,SDS)]、疲乏状况[疲劳量表-14(Fatigue scale-14,FS-14)]、希望水平[中文版Herth希望量表(Herth hope index,HHI)]及生活质量[肾脏疾病生活质量简表(Kidney Disease Quality of Life short Form,KDQOL-SFTM)]。结果:干预后,观察组SAS和SDS评分明显低于对照组,差异均有统计学意义(t=-4.703,6.232;P<0.05);观察组FS-14各维度评分总分明显低于对照组,差异均有统计学意义(t=3.729,5.095,6.263;P<0.05);观察组HHI各维度评分及总分明显高于对照组,差异均有统计学意义(t=3.097,2.836,6.348,6.706;P<0.05);观察组KDQOL-SFTM评分明显高于对照组,差异均有统计学意义(t=5.485,P<0.05)。结论:与常规心理治疗相比,集体心理治疗能更显著改善维持性血液透析患者的负面情绪,降低疲乏程度,提高患者希望水平,从而达到改善患者生活质量的目的。Objective:To explore the effect of group psychotherapy on anxiety,depression,fatigue and hope level of maintenance hemodialysis patients.Methods:A total of130 cases of maintenance hemodialysis patients admitted to our hospital from December 2018 to December 2019 were selected.According to the random number table method,they were divided into control group(n=65)and observation group(n=65).Patients in control group received routine psychotherapy,while patients in observation group received collective intervention.The anxiety and depression[Self-rating anxiety scale(SAS)and Self-rating depression scale(SDS)],fatigue status[fatigue scale-14(FS-14)],hope level[Chinese version of Herth hope index(HHI)]and quality of life[kidney disease quality of life short form(KDQOL-SFTM)]were measured.Results:After intervention,the scores of SAS and SDS in the observation group were significantly lower than those in the control group(t=-4.703,6.232;P<0.05).The scores and total scores of FS-14 in observation group were significantly lower than those in control group(t=3.729,5.095,6.263;P<0.05).The scores and total scores of HHI in the observation group were significantly higher than those in the control group(t=3.097,2.836,6.348,6.706;P<0.05).The KDQOL-SFTM score in the observation group was significantly higher than that in the control group(t=5.485,P<0.05).Conclusion:Compared with conventional psychotherapy,group psychotherapy can significantly improve the negative emotions of maintenance hemodialysis patients,reduce the degree of fatigue,improve the hope level of patients,and thus achieve the purpose of improving the quality of life of patients.

关 键 词：集体心理治疗 维持性血液透析 焦虑抑郁情绪 疲乏 希望 

分 类 号：R749.92[医药卫生—神经病学与精神病学]