基于积极心理学的慢病管理在透析前期慢性肾脏病患者中的应用  

Application of chronic disease management based on positive psychology in patients with chronic kidney disease in pre-dialysis stage

作　　者：路燕燕[1] 庄勤 姜元喜[1] 王爱丽[1] Lu Yanyan;Zhuang Qin;Jiang Yuanxi;Wang Aili(Tongji Hospital,Tongji University School of Medicine,Shanghai,200065,China)

机构地区：[1]同济大学附属同济医院,上海200065

出　　处：《青岛医药卫生》2024年第1期76-80,共5页Qingdao Medical Journal

基　　金：上海卫生健康委员会科研课题面上项目(项目编号:202040079)。

摘　　要：目的 探讨基于积极心理学的慢病管理在透析前期慢性肾脏病患者中的应用效果。方法 选取2021.1-2022.12在本院就诊的透析前期患者,随机分为试验组和对照组,对照组采用常规门诊慢病管理,试验组在此基础之上,采用积极心理学的干预方法。比较两组干预前后焦虑自评量表(SAS)、抑郁自评量表(SDS)、肾病生活质量简表(KDQOL-SFTM 1.3)评分。结果 共97例患者完成试验,其中试验组49例,对照组48例。干预8周后,试验组SAS评分和SDS评分较干预前明显降低(P<0.05),且低于对照组干预后(P<0.05)。干预后试验组KDTA总分和SF-36总分较干预前明显升高(P<0.05),且高于对照组干预后(P<0.05)。结论 基于积极心理学的慢病管理能够明显改善透析前期患者的焦虑、抑郁情绪,提高患者的生活质量和满意度。Objective To explore the application effect of chronic disease management based on positive psychology in patients with chronic kidney disease(CKD)in pre-dialysis stage.Methods A prospective,randomized,controlled trial of CKD patients with pre-dialysis was conducted from January 2021 to December 2022.Patients were randomly assigned to either treatment group(positive psychology intervention)or control group(conventional intervention).Patients in control group received conventional strategy intervention,on the basis,the treatment group received positive psychological intervention.Self-rating anxiety scale(SAS),self-rating depression scale(SDS)and quality of life by the Chinese version of kidney disease survival quality profile(KDQOL-SFTM 1.3)were measured at baseline and after treatment.Results A total of 97 patients met the inclusion criteria and completed the trial.The treatment group and the control group had 49 cases and 48 cases,respectively.After 8-week intervention,the SAS score and SDS score in the treatment group were obviously lower than the baseline(P<0.05)and those of the control group(P<0.05).After intervention,the total scores of kidney disease-targeted areas(KDTA)and general health related quality of life(SF-36)in the treatment group were signifi-cantly higher than those before intervention(P<0.05),and obviously higher than those in the control group after intervention(P<0.05).Conclusion Chronic disease management based on positive psychology can significantly improve anxiety and depression in pre-dialysis patients,and can improve their quality of life.

关 键 词：慢性肾脏病 透析前期 积极心理学 慢病管理 生存质量 

分 类 号：R692[医药卫生—泌尿科学]