辨证行为疗法对血液透析患者创伤后成长及心理弹性的影响

Effect of Syndrome Differentiation Behavioral Therapy on Post-Traumatic Growth and Psychological Resilience in Hemodialysis Patients

目的:探讨辨证行为疗法对血液透析患者创伤后成长及心理弹性的影响。方法:选取2020年1月1日~2023年1月1日收治的血液透析患者106例为研究对象,按照随机数字表法分为对照组和观察组各53例,对照组采用常规干预,观察组在常规干预基础上实施辨证行为疗法;比较两组干预前后创伤后成长[采用创伤后成长评定量表(PTGI)]、心理弹性[采用心理弹性量表(CD-RISC)]及认知情绪调节情况[采用认知情绪调节量表(CERQ)]。结果:干预后,两组PTGI中个人力量、人际关系、精神变化、欣赏生活、新的可能评分均高于干预前(P<0.05),且观察组高于对照组(P<0.01);干预后,两组CD-RISC中坚韧、自强、乐观评分及总分均高于干预前(P<0.05),且观察组高于对照组(P<0.01);干预后,观察组CERQ中积极情绪调节策略评分高于对照组(P<0.05),消极情绪调节策略评分低于对照组(P<0.05)。结论:辨证行为疗法可提高血液透析患者的创伤后成长和心理弹性水平,并改善其认知情绪调节策略。

Objective:To explore the effects of syndrome differentiation behavioral therapy on post-traumatic growth and psychological resilience in hemodialysis patients.Methods:A total of 106 hemodialysis patients admitted from January 1,2020 to January 1,2023 were se-lected as the study subjects,and were divided into control group and observation group with 53 cases in each group,according to the ran-dom number table method.The control group received conventional intervention,while the observation group received syndrome differentia-tion behavioral therapy on the basis of the control group.The post-traumatic growth using post-traumatic growth inventory(PTGI),psycho-logical resilience using Connor-davidson resilience scale(CD-RISC),and cognitively emotional regulation using cognitive emotion regula-tion questionnaire(CERQ)were compared between two groups before and after intervention.Result:After intervention,the scores of person-al strength,interpersonal relationships,mental changes,appreciation of life,and new possibilities in both groups of PTGI were higher than those before intervention(P<0.05),and the observation group has higher scores than those of the control group(P<0.01).After interven-tion,the scores of resilience,self-improvement,optimism,and total score in both groups of CD-RISC were higher than those before interven-tion(P<0.05),and the observation group has higher scores than those of the control group(P<0.01).After intervention,the positively e-motional regulation strategy score in the observation group was higher than that in the control group(P<0.05),while the cognitively emo-tional regulation strategy score was lower than that in the control group(P<0.05).Conclusion:Syndrome differentiation behavioral therapy can significantly improve the post-traumatic growth and psychological resilience levels,and improve their cognitive emotion regulation strat-egies in hemodialysis patients.