团体式认知行为干预对维持性血透患者睡眠及情绪的影响  

Effects of group-based cognitive behavioral intervention on sleep quality and mood in maintenance hemodialysis patients

作　　者：王薇 梅玉秀[1] 林文军 张妮娜[1] WANG Wei;MEI Yuxiu;LIN Wenjun(Department of Nephrology,Shanghai Sixth People's Hospital,Shanghai200023,China)

机构地区：[1]上海市第六人民医院肾内科,上海200023

出　　处：《国际精神病学杂志》2024年第6期1999-2001,共3页Journal Of International Psychiatry

基　　金：上海市第六人民医院院级科学研究基金(编号:x院内-2333)。

摘　　要：目的 探讨团体式认知行为干预对维持性血透患者睡眠质量及情绪的影响。方法 将我院2020年8月~2022年7月共100例维持性血透患者按数字表随机法分为两组,对照组48例,观察组52例。对照组采用常规心理干预,观察组采用团体式认知行为干预。比较两组患者干预前后汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)、汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)、失眠严重指数(Insomnia Severity Index,ISI)以及肾脏疾病生活质量简表(Kidney Disease Quality of Life Short Form,KDQOL-SF)。结果 两组护理后与护理前比较,HAMA评分、HAMD评分均显著降低,且护理后观察组较对照组更低(P<0.05);两组护理后与护理前比较,ISI评分显著降低,KDQOL-SF评分显著升高,且护理后观察组ISI评分显著低于对照组,KDQOL-SF评分显著高于对照组(P<0.05)。结论 团体式认知行为干预能够有效改善维持性血透患者睡眠质量,降低焦虑、抑郁等负性情绪,提升生活质量。Objective To explore the effects of a group-based cognitive behavioral intervention on sleep quality and mood in maintenance hemodialysis patients.Methods A total of 100 maintenance hemodialysis patients in our hospital from August 2020 to July 2022 were divided into two groups according to the number table randomization method,with 48 cases in the control group and 52 cases in the observation group.The control group used conventional psychological interventions and the observation group used group-based cognitive behavioral interventions.Hamilton Anxiety Scale(HAMA)、Hamilton Depression Scale(HAMD),Insomnia Severity Index(ISI),and Kidney Disease Quality of Life Short Form(KDQOL-SF)were compared between the two groups before and after the intervention.Results HAMA scores and HAMD scores were significantly lower in both groups after care compared to before care,and were lower in the observation group after care compared to the control group(P<0.05).ISI scores were significantly lower and KDQOL-SF scores were significantly higher in both groups after care compared with before care,and ISI scores were significantly lower and KDQOL-SF scores were significantly higher in the observation group than those in the control group after care(P<0.05).Conclusion Group-based cognitive behavioral interventions can effectively improve sleep quality,reduce negative emotions such as anxiety and depression,and enhance quality of life in maintenance hemodialysis patients.

关 键 词：团体式认知行为干预 维持性血透 睡眠质量 生活质量 

分 类 号：R740.05[医药卫生—神经病学与精神病学]