自我控制团体心理活动在血液透析患者的应用及对自我控制行为、应对方式的影响  

Application of self-controlled group psychological activities in hemodialysis patients and the impact on self-control behaviors and coping styles

作　　者：宋杨 李翠红[1] SONG Yang;LI Cuihong(The First People's Hospital of Lianyungang,Lianyungang 222000,China)

机构地区：[1]江苏省连云港市第一人民医院肾内科,222000

出　　处：《中国健康心理学杂志》2023年第12期1837-1841,共5页China Journal of Health Psychology

基　　金：江苏省科核计划项目(编号:F202048)。

摘　　要：目的:探讨自我控制团体心理活动在血液透析患者的应用及对自我控制行为、应对方式的影响。方法:选取2022年1月-2023年1月于连云港市第一人民医院行血液透析的215例患者为研究对象,按随机数字表法分为对照组(n=107)和观察组(n=108),对照组给予常规护理干预,观察组给予自我控制团体心理活动干预,比较两组心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、自我感受负担(SPBS)评分、自我管理行为评分、医学应对问卷(MCMQ)评分及生活质量(SF-36)评分。结果:干预3个月后,两组SDS、SAS评分均降低,且观察组显著低于对照组,差异均有统计学意义(t=-6.628,-5.108;P<0.05);干预3个月后,两组SPBS量表中经济负担、情感负担、身体负担评分和总分均降低,且观察组显著低于对照组,差异均有统计学意义(t=-5.068,-14.314,-17.793,-24.468;P<0.05);干预3个月后,两组自我管理行为量表中各维度和总分均升高,且观察组显著高于对照组,差异均有统计学意义(t=2.308,2.919,4.880,4.554,7.051;P<0.05);干预3个月后,两组MCMQ量表中面对评分升高,回避、屈服评分降低,且观察组面对评分高于对照组,回避、屈服评分均低于对照组,差异均有统计学意义(t=4.698,-20.749,-22.493;P<0.05);干预3个月后,两组SF-36量表中机体功能、生理功能、活力、社会功能、情感职能、精神健康、总体健康评分均升高,且观察组显著高于对照组,差异均有统计学意义(t=2.987,8.850,9.791,5.933,9.151,8.669,4.440;P<0.05)。结论:自我控制团体心理活动可改善血液透析患者不良情绪、自我控制行为和应对方式,降低自我感受负担,提高生活质量。Objective:To investigate the application of self-controlled group psychological activities in hemodialysis patients,and the impact on self-control behaviors and coping styles.Methods:A total of 215 patients who underwent hemodialysis at the First People's Hospital of Lianyungang from January 2022 to January 2023 were selected as the study subjects.They were divided into the control group(n=107)and the observation group(n=108)by random number table method.The control group received routine nursing intervention,while the observation group received intervention of self-controlled group psychological activities.Psychological states[Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)],Self-Perceived Burden Scale(SPBS)scores,self-management behavior scores,Medical Coping Modes Questionnaire(MCMQ)scores,and quality of life(SF-36)scores of the two groups were compared.Results:After 3 months of intervention,the SDS scores and SAS scores of both groups decreased,and above scores of the observation group were significantly lower than those of the control group(t=-6.628,-5.108;P<0.05).The scores for economic burden,emotional burden and physical burdenin the SPBS,and the total scores of both groups decreased.Above scores of the observation group were significantly lower than those of the control group(t=-5.068,-14.314,-17.793,-24.468;P<0.05).The subscale scores and the total scores in self-management behavior scale of both groups increased.Above scores of the observation group were significantly higher than those of the control group(t=2.308,2.919,4.880,4.554,7.051;P<0.05).The score for facing in the MCMQ increased,and the scores for avoidance and yielding decreased.The facing score of observation group was higher than that of the control group,and the scores for avoidance and yielding were lower than those of the control group(t=4.698,-20.749,-22.493;P<0.05).The scores for body function,physiological function,vitality,social function,role emotional,mental health and overall health in the SF-36 scales increase

关 键 词：血液透析 自我控制团体心理活动 自我控制行为 应对方式 

分 类 号：R395.6[哲学宗教—心理学]