认知行为疗法对学龄期肾病综合征患儿负性情绪的影响

Affection ofcognitive behavior therapy on negative temperforchildren patients sufferedfrom nephritic syndrome during schooling time

目的探讨认知行为疗法对学龄期肾病综合征患儿负性情绪的影响。方法选择80例学龄期肾病综合征患儿作为研究对象,实施认知行为干预,干预前及干预后6个月,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)及简易应对方式问卷(SCSQ)评估干预效果,并进行干预前后对照比较。结果干预后焦虑自评量表(SAS)评分(36.65±6.72),明显低于干预前(42.68±6.78),抑郁自评量表(SDS)评分(19.48±5.96),明显低于干预前(25.02±6.02),干预后简易应对方式问卷的积极得分(22.18±5.25),明显高于干预前(18.46±5.21),消极得分(9.99±4.90),明显低于干预前(13.81±4.96),两者比较,u值分别为5.61、5.81、4.47、4.87,差异均有统计学意义(P<0.01)。结论认知行为疗法可明显减轻学龄期肾病综合征患儿的焦虑抑郁情绪,提高应对能力,促进健康行为,为改善其负性情绪开拓了一条新的有效预防途径。

Objective To explore the affection ofeognitive behavior therapy on negative temper for the children patients suffered from nephritic syndrome during schooling period. Methods 80 eases of school - age children with nephrotic syndrome were enrolled in the study, and all the patients received cognitive behavioral intervention. Self - Rating Anxiety Scale （SAS） , Self - rating Depression Scale （SDS） and Simplified Coping Style Questionnaire （SCSQ）were used to assess the effect of intervention, at the time points pro- and post- intervention（ six months）. Results Compared with the score before intervention, the score of SAS （36.65± 6. 72 ） and SDS （ 19.48± 5.96 ） were significantly decreased, the scores of SAS and SDS were 42.68 ± 6.78 and 25. 02±6. 02 separately before interference. However, the positive score of SCSQ was 18. 46± 5. 21 before intervention and increasedto 22.18± 5.25 after interference, and the negative score decreased to9.99 ± 4.90 after intervention （it was 13.81 ± 4.96 before intervention）. And all the differences among them were statistically significant （P 〈 0. 01 ）. Conclusions The cognitive behavior therapy could relieve the anxious and depressed temper of the school - age children who suffered from nephritic syndrome, raise the react ability, promote health and develop a new effective way for improve negative temper.