认知行为疗法对肾移植受者术后负性情绪和睡眠质量的效果研究

The Effect of Cognitive Behavioral Therapy on Postoperative Sleep Quality and Negative Emotions in Renal Transplant Recipients

目的验证认知行为疗法对肾移植受者术后负性情绪、睡眠质量的效果。方法便利抽样选择2015年5月至2016年1月福州市某三级甲等综合医院58名肾移植受者,分为干预组28名和对照组30名。对干预组进行为期3周的认知行为疗法干预,而对照组则采用常规护理。使用基本资料调查表、非精神科住院患者心理评定量表和匹兹堡睡眠指数量表评价其效果。结果干预组患者在抑郁、愤怒维度的得分显著低于对照组患者的得分,PSQI总分和睡眠质量、睡眠时间、入睡时间、睡眠效率维度等五个方面亦低于对照组(均P<0.05)。结论认知行为疗法能够有效降低肾移植受者术后抑郁、愤怒情绪,同时对改善肾移植受者术后睡眠质量有较好的效果。

Objective To determine the effect of cognitive behavioral therapy on sleep quality and negative emotions in renal transplant recipients（RTRs）.Methods By convenience sampling,58 cases were selected and divided into intervention group （n = 28） and control group （n = 30）. The intervention group received cognitive behavioural therapy for three weeks, while the control group received a routine nursing care. The data collection tool comprised demographics data, the mental status scale in non-psychiatric settings （MSSNS） and the Pittsburgh sleep quality index （PSQI）.Results In the intervention group,patients had significantly lower scores of depression and anger compared with that of control group. Moreover resulted in lower scores of PSQI, they perceived longer sleep duration,less sleep latency, better sleep quality and sleep efficiency,compared to those in the control group（all P〈0.05）.Conclusion Implementing cognitive behavioral therapy can effectively reduce depression and anger in RTRs, meanwhile sleep quality is also improved.