认知行为干预对紫癜性肾炎患者临床症状改善时间及负性情绪的影响  

Effect of cognitive-behavioral intervention on clinical symptoms improvement time and negative emotions of patients with purpura nephritis

作　　者：张晓艳[1] 李灿灿 白景云 Zhang Xiaoyan;Li Cancan;Bai Jingyun(Pediatric Hospital of the First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450000,Henan,China)

机构地区：[1]河南中医药大学第一附属医院儿科医院(河南中医药大学儿科医学院),河南郑州450000

出　　处：《临床心身疾病杂志》2025年第2期73-76,82,共5页Journal of Clinical Psychosomatic Diseases

摘　　要：目的 探讨认知行为干预对紫癜性肾炎患者临床症状改善时间以及负性情绪的影响。方法 将92例紫癜性肾炎患者按照随机数字表法分为对照组与研究组,各46例。两组患者均给予常规药物治疗,在此基础上对照组患者接受常规干预,研究组患者接受认知行为干预,观察8周。比较两组患者干预前后焦虑自评量表(SAS)、抑郁自评量表(SDS)、自我护理能力测定量表(ESCA)评分,并比较两组患者皮肤症状消失时间、关节症状消失时间、住院时间及并发症发生情况。结果 干预后,两组患者SAS及SDS评分较干预前降低,且研究组低于对照组(P<0.01)。干预后,两组患者ESCA各维度评分较干预前升高,且研究组高于对照组(P<0.01)。研究组患者皮肤症状消失时间、关节症状消失时间早于对照组,住院时间短于对照组,并发症发生率低于对照组(P<0.05或0.01)。结论 认知行为干预能够有效改善紫癜性肾炎患者的负性情绪,提高自我管理能力,值得临床推广。Objective To explore the effect of cognitive-behavioral intervention(CBI)on clinical symptoms improvement time and negative emotions of patients with purpura nephritis.Methods Ninety-two purpura nephritis patients were divided into control and research group according to random number table method,with 46 ones in each.Both groups were treated with conventional medication,on this basis controls received routine intervention and research group did CBI for 8 weeks.Such indexes were compared between two groups as pre-and post-intervention Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)and Exercise of Self-care Agency Scale(ESCA)scores.The disappearing time of skin and joint symptoms,length of stay,and the occurrence of complications of the two groups were compared.Results After intervention,SAS and SDS scores lowered in both groups compared with pre-intervention and those were lower in research group than control(P<0.01).After intervention,each dimension scores of the ESCA elevated in both groups compared with pre-intervention and those were higher in research group than control(P<0.01).The skin and joint symptoms disappearing time were earlier,lengths of stay shorter and the incidences of complications lower in research group than control(P<0.05 or 0.01).Conclusion The CBI could effectively improve negative emotions and self-management ability,it is worthy of clinical promotion.

关 键 词：紫癜性肾炎 认知行为干预 负性情绪 自我管理能力 

分 类 号：R277.5[医药卫生—中医学] R692.34