团体认知行为干预对MHD患者认知功能和生活质量的影响

Study on effect of group cognitive behavior intervention on cognitive function and quality of life of maintenance hemodialysis patients

目的探讨团体认知行为干预对MHD患者认知功能和生活质量的影响。方法按照随机数字表法将80例MHD患者分成对照组和观察组,各40例。对照组采用常规临床干预,观察组在对照组基础上联合团体认知行为干预。观察2组治疗前后心理状态评估焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、心理韧性量表(CD-RISC)评分、血液透析患者压力源表(HSS)评分、蒙特利尔认知评估量表(MoCA)评分、日常生活能力量表(ADL)评分及生活质量量表(SF-36)评分的变化情况;比较2组护理满意度。结果观察组治疗后SAS评分、SDS评分、HSS评分、ADL评分均低于对照组(P<0.05);CD-RISC评分、MoCA评分、SF-36评分高于对照组(P<0.05);观察组护理满意度为92.5%,明显高于对照组护理满意度72.5%(P<0.05)。结论团体认知行为干预能够调节MHD患者心理状态,增强心理韧性,提高患者认知功能和生活质量,改善护理满意度。

Objective To explore the effect of group cognitive behavior intervention on cognitive function and quality of life of maintenance hemodialysis(MHD)patients.Methods 80 patients with MHD were divided into the control group and the observation group according to random number table method,with 40 patients in each group.The control group received routine clinical intervention,and the observation group received group cognitive behavioral intervention on the basis of the the treatment of the control group.Before and after treatment,the changes of psychological status assessment[Self-Rating Anxiety Scale(SAS)score,Self-Rating Depression Scale(SDS)score],Connor-Davidson Resilience Scale(CD-RISC)score,Hemodialysis Stress Scale(HSS)score,Montreal Cognitive Assessment(MoCA)score,Activity of Daily Living Scale(ADL)score and the MOS item short from health survey(SF-36)score in the two groups were observed.Nursing satisfaction of the two groups was compared.Results After treatment,in the observation group SAS score,SDS score,HSS score and ADL score were lower than those in the control group(P<0.05),while CD-RISC score,MoCA score and SF-36 score were higher than those in the control group(P<0.05);Nursing satisfaction in the observation group was 92.5%,which was significantly higher than that in the control group(72.5%)(P<0.05).Conclusion Group cognitive behavior intervention can adjust the mental state of MHD patients,enhance psychological resilience,improve cognitive function and quality of life of the patients,and improve nursing satisfaction of the patients.