同伴支持干预联合团体心理咨询对维持性血液透析伴焦虑抑郁患者的影响  

The efect of peer support intervention combined with group psychological counseling on maintenance hemodialysis patients with anxiety and depression

作　　者：吴倩 潘学丽 陈光梅 WU Qian;PAN Xueli;CHEN Guangmei(Department of Nephropathy,Rheumatology and Immunology,Qiannan People's Hospital,Qiannan 558003,China)

机构地区：[1]黔南州人民医院肾病风湿免疫科血透室,贵州黔南州558003

出　　处：《心理月刊》2024年第24期202-204,共3页

基　　金：贵州省中医药管理局中医药、民族医药科学技术研究课题(QZYY-2024-169);黔南民族医学高等专科学校科研基金项目(Qnyz202220)

摘　　要：目的 同伴支持干预联合团体心理咨询对维持性血液透析(MHD)伴焦虑抑郁患者情绪及病耻感的影响。方法 选取2022年1月~2024年1月黔南州人民医院收治的MHD患者伴焦虑抑郁患者60例,按随机数字表法分为两组。其中对照组(n=30)采用常规干预,观察组(n=30)采用同伴支持干预联合团体心理咨询。比较两组干预前后不良情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、病耻感[汉化慢性疾病病病耻感量表(SSCI)]、健康促进行为[健康促进生活方式量表Ⅱ(HPLPⅡ)]。正态计量资料以t检验。结果 干预后,观察组SAS评分(40.04±7.54)及SDS评分(42.46±7.17)均低于对照组,SSCI中内在病耻感评分(12.58±7.25)、外在病耻感评分(11.46±2.10)及总分(24.04±5.36)均低于对照组,差异有统计学意义(P<0.05);两组HPLPⅡ评分中营养评分比较,差异无统计学意义(P>0.05),观察组健康责任评分(28.79±2.45)、压力应对评分(26.97±2.31)、人际关系评分(32.46±1.75)、运动锻炼评分(25.97±2.46)、个人目标评分(31.13±2.41)及总分(148.26±7.13)均高于对照组,差异有统计学意义(P<0.05)。结论 MHD伴焦虑抑郁患者采用同伴支持干预联合团体心理咨询干预的效果显著,患者不良情绪及病耻感得到有效缓解,并养成良好的健康生活方式。Objective To investigate the effects of peer support intervention combined with group psychological counseling on mood and stigma in patients with anxiety and depression during maintenance hemodialysis(MHD).Methods A total of 60 MHD patients with anxiety and depression admitted to Qiannan People's Hospital from January 2022 to January 2024 were selected and divided into two groups according to random number table method.The control group(n=30)received conventional intervention,and the observation group(n=30)received peer support intervention combined with group psychological counseling.The negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],stigma[Chinese chronic disease stigma scale(SSCI)]and health promotion behavior[health promotion lifestyle scaleⅡ(HPLPⅡ)]were compared between the two groups before and after the intervention.The t test was used for normal measurement data.Results After intervention,SAS score(40.04±7.54)and SDS score(42.46±7.17)in observation group were lower than those in control group.Internal stigma score(12.58±7.25),external stigma score(11.46±2.10)and total score(24.04±5.36)in SSCI were lower than those in control group,with statistical difference(P<0.05).There was no significant difference in nutrition scores in HPLPⅡscores between the two groups(P>0.05).The health responsibility score(28.79±2.45),stress coping score(26.97±2.31),interpersonal relationship score(32.46±1.75),exercise score(25.97±2.46),personal goal score(31.13±2.41)and total score(148.26±7.13)of the observation group were higher than the control group,with statistical difference(P<0.05).Conclusion MHD patients with anxiety and depression were treated with peer support intervention combined with group psychological counseling,and the effect was remarkable.The patients'bad mood and stigma were effectively alleviated,and they developed a good healthy lifestyle.

关 键 词：维持性血液透析 焦虑抑郁 同伴支持干预 团体心理咨询 

分 类 号：R47[医药卫生—护理学]