意义疗法对机器人辅助肾移植术后肾功能丧失再行血液透析患者的影响  

Effect of meaning therapy on patients who accepted hemodialysis after loss of renal function following robot-assisted kidney transplantation

作　　者：刘珂 王丽妍[2] LIU Ke;WANG Liyan(Blood Purification Center,Beijing Friendship Hospital affiliated to Capital Medical University,Beijing 100050,China;Department of Nephrology,Beijing Friendship Hospital affiliated to Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院血液净化中心,北京100050 [2]首都医科大学附属北京友谊医院肾内科,北京100050

出　　处：《机器人外科学杂志(中英文)》2025年第3期475-480,共6页Chinese Journal of Robotic Surgery

基　　金：国家自然科学基金(82003833)。

摘　　要：目的:探讨意义疗法对机器人辅助肾移植术后肾功能丧失再行血液透析患者的影响。方法:选取2018年1月—2023年6月首都医科大学附属北京友谊医院行达芬奇机器人辅助肾移植手术的80例血液透析患者,按照信封法分为对照组和观察组,每组各40例。对照组采用常规治疗,观察组在对照组基础上采用意义疗法,分析并比较两组患者的肾功能指标、心理状况、应对方式及生活质量。结果:治疗后,观察组的血清尿素氮(BUN)、肌酐(Cr)水平低于对照组,肌酐清除率(Ccr)高于对照组(P<0.05);观察组的汉密尔顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)评分低于对照组(P<0.05),肾脏疾病生活质量简表(KDQOL-SF)评分高于对照组(P<0.05);观察组在积极应对等方面的简易应对方式问卷(SCSQ)评分高于对照组,消极应对等方面的SCSQ评分低于对照组(P<0.05)。结论:意义疗法可有效提高机器人辅助肾移植术后肾功能丧失再行血液透析患者的肾功能,并改善患者的不良心理状况,使其积极面对疾病,进而提高生活质量,临床值得推广。Objective:To explore the effect of meaning therapy on patients who accepted hemodialysis after loss of renal function following robot-assisted kidney transplantation.Methods:80 hemodialysis patients who underwent Da Vinci robot-assisted kidney transplantation in Beijing Friendship Hospital of Capital Medical University from January 201 to June 2023 were selected.They were divided into the control group(using routine treatment,n=40)and the observation group(using meaning therapy on the basis of routine treatment,n=40)using the envelope method.The renal function indicators,psychological statu,coping style,and quality of life of patients in the two groups were analyzed and compared.Results:After treatment,the blood urea nitrogen(BUN)level,creatinine(Cr)level,Hamilton Anxiety Scale(HAMA)score,and Hamilton Depression Scale(HAMD)score in the observation group were lower than those in the control group,While the creatinine clearance(Ccr)and Kidney Disease Quality of Life Short Form(KDQOL-SF)scores were higher than those in the control group(P<0.05).For the Simple Coping Style Questionnaire(SCSQ),the observation group had a higher score in positive coping and a lower score in negative coping compared with the control group(P<0.05).Conclusion:Meaning therapy can effectively improve the renal function of patients who accepted hemodialysis after loss of renal function following robotassisted kidney transplantation,improve patients’adverse psychological status and help them actively face the disease,as well as raise their quality of life,which is worth promoting in clinical practice.

关 键 词：意义疗法 机器人辅助手术 肾移植 肾功能 血液透析 

分 类 号：R473[医药卫生—护理学]