认知行为团体心理干预在脊髓损伤神经源性膀胱患者中的应用

Application of cognitive-behavioral group psychological intervention in patients with neurogenic bladder due to spinal cord injury

目的:探究脊髓损伤神经源性膀胱(NB)患者应用认知行为团体心理干预对其负性情绪、自我效能及社会支持的影响。方法:选取2022年4月至2024年4月某院接诊的脊髓损伤NB患者82例,经计算机随机数字生成表法分为常规组(常规干预)、试验组(常规干预联合认知行为团体心理干预),各41例。比较干预前、后两组负性情绪、自我效能、社会支持及膀胱功能。结果:干预后试验组Zung氏焦虑自评量表(SAS)、Zung氏抑郁自评量表(SDS)评分均低于常规组(t=2.780,2.9861;P<0.05)。干预后试验组一般自我效能感量表(GSES)评分均高于常规组(t=3.434,P<0.05)。干预后试验组主观支持、客观支持、对社会支持的利用度评分及社会支持总分均高于常规组(t=2.813,2.478,2.376,3.349;P<0.05)。干预后试验组最大排尿量、膀胱容量、膀胱压力均大于常规组(t=2.901,5.313,5.191;P<0.05),残余尿量、每日排尿次数均少于常规组(t=5.393,4.916;P<0.05)。结论:认知行为团体心理干预可改善患者膀胱功能、自我效能及社会支持,减轻负性情绪。

Objective:To explore the impact of cognitive-behavioral group psychological intervention on negative emotions,self-efficacy,and social support in patients with spinal cord injury and neurogenic bladder(NB).Methods:A total of 82 patients with spinal cord injury NB who were admitted to the hospital from April 2022 to April 2024 were selected and divided into a conventional group(conventional intervention)and an experimental group(conventional intervention combined with cognitive-behavioral group psychological intervention)by computer-generated random number table,with 41 cases in each group.Negative emotions,self-efficacy,social support,and bladder function were compared between the two groups before and after the intervention.Results:After the intervention,the scores of Zung's Self-Rating Anxiety Scale(SAS)and Zung's Self-Rating Depression Scale(SDS)in the experimental group were lower than those in the conventional group(t=2.780,2.9861;P<0.05).After the intervention,the General Self-Efficacy Scale(GSES)score in the experimental group was higher than that in the conventional group(t=3.434,P<0.05).After the intervention,the scores of subjective support,objective support,utilization of social support,and the total score of social support in the experimental group were higher than those in the conventional group(t=2.813,2.478,2.376,3.349;P<0.05).After the intervention,the maximum voided volume,bladder capacity,and bladder pressure in the experimental group were greater than those in the conventional group(t=2.901,5.313,5.191;P<0.05),and the residual urine volume and daily voiding frequency were less than those in the conventional group(t=5.393,4.916;P<0.05).Conclusion:Cognitive-behavioral group psychological intervention can improve bladder function,self-efficacy,and social support in patients,and reduce negative emotions.