认知行为干预对维持性血液透析患者生活质量的影响

Study on the impact of mental health and quality of life by cognitive behavioral intervention in hemodialysis patients

目的探讨认知行为干预对维持性血液透析患者心理健康和生活质量的影响。方法 50例维持性血液透析患者,在常规血液透析护理的基础上进行认知行为干预,分别在干预前、干预3个月后发放焦虑自评量表(SAS)、抑郁自评量表(SDS)以及简明健康调查问卷(SF-36)。结果干预前SAS和SDS评分明显高于干预后(P<0.05),干预后患者生活质量在躯体功能(PF)、健康问题导致的角色受限(RP)、躯体疼痛(BP)、生命活力(VT)、社交功能(SF)等方面均有不同程度的提高(P<0.05)。结论认知行为干预可以明显提高患者生活质量,改善患者焦虑和抑郁情绪,值得临床应用和推广。

Objective To investigate the effects on mental health and quality of life in hemodialysis patients with cognitive behavioral intervention.Methods 50 hemodialysis patients were enrolled in this study.On the basis of conventional hemodialysis treatments,cognitive behavioral interventions were conducted.Anxiety Rating Scale（SAS）,Self-rating Depression Scale（SDS）and condensed health Survey（SF-36）were tested before and three months after intervention.Results Before the intervention,SAS and SDS scores were significantly higher than three months after the intervention（P〈0.05）,the quality of life of patients after intervention in physical function（PF）,role limitations caused by health problems（RP）,bodily pain（BP）,vitality（VT）,social functioning（SF）,etc.have improved at varying degrees（P〈0.05）.Conclusion Cognitive-behavioral interventions can significantly improve the quality of life of hemodialysis patients,improve patient anxiety and depression.It is worthy of clinical application and promotion.