团体认知干预对维持性血液透析患者焦虑抑郁情绪、血红蛋白、白蛋白及肌酐水平的影响

Influence of group cognitive therapy of anxiety-depression and the level of hemoglobin,albumin and creatinine in the maintenance hemodialysis patients

目的:观察团体认知干预对维持性血液透析患者焦虑抑郁情绪、血红蛋白(Hemoglobin,HGB)、血浆白蛋白(Plasma Albumin,ALB)及血肌酐(Seram Creatinine,Scr)水平的影响。方法:采用团体认知的方法对维持性血液透析患者进行干预,运用焦虑自评量表(SAS)、抑郁自评量表(SDS)对患者进行评估,并检测干预前、后患者血红蛋白、血浆白蛋白及血肌酐水平。结果:干预后治疗组较对照组SAS和SDS分值降低,差异具有统计学意义(P<0.05);血红蛋白及血浆白蛋白水平较前有所上升,后者差异具有统计学意义(P<0.05);血肌酐水平较前下降(P<0.05),差异具有统计学意义。结论:团体认知干预可以改善患者焦虑、抑郁情绪并提高透析效果。

Objective： To observe the effect of group cognitive therapy on anxiety,depression,hemoglobin plasma albumin,and serum creatinine in the maintenance hemodialysis patients.Methods： The group cognitive therapy was used to intervene maintenance hemodialysis patients,anxiety depression self-rating scale was adopted for evaluation of patients,and patients＇ hemoglobin,plasma albumin and serum creatinine were tested before and after the intervention.Results： After Intervention the SDS,SAS scores of treatment group were lower than those of the control group and the difference was statistically significant.（P〈0.05）.While hemoglobin and plasma albumin levels raised more than before,the difference of the latter was statistically significant（P〈0.05）.Serum creatinine levels declined than before,the difference was statistically significant（P〈0.05）.Conclusion： Group cognitive intervention can decrease patients＇ anxiety depression and improve dialysis effect.