认知行为团体心理干预对慢性肾功能衰竭血液透析患者心理状态、遵医行为及生存质量的影响

Effect of group cognitive behavioral psychological intervention on psychological state,compliance behavior and quality of life of patients with chronic renal failure and hemodialysis

目的:探讨认知行为团体心理干预对慢性肾功能衰竭血液透析患者心理状态、遵医行为及生存质量的影响。方法:选择2016年10月-2017年9月我院收治的慢性肾功能衰竭血液透析患者180例,按照随机数字表法分为对照组和观察组各90例。对照组给予常规健康教育干预,观察组在对照组干预基础上给予认知行为团体心理干预,比较两组患者心理状态、遵医行为及生存质量。结果:干预后,观察组HAMA评分(t=-5.241,P<0.05)、HAMD评分(t=-3.707,P<0.05)均显著低于对照组;观察组完全依从率81.11%显著高于对照组的64.44%(χ~2=3.916,P<0.05)。干预后,观察组生理领域评分(t=3.818,P<0.05)、心理领域评分(t=5.006,P<0.05)、社会关系领域评分(t=4.403,P<0.05)均显著高于对照组。结论:认知行为团体心理干预可有效调节慢性肾功能衰竭血液透析患者心理,增强其遵医行为,提高患者生存质量。

Objective:To explore the effects of cognitive behavioral group psychological intervention on psychological state,compliance behavior and quality of life of patients with chronic renal failure and hemodialysis.Methods:180 cases of patients with chronic renal failure and hemodialysis from October 2016 to September 2017 in our hospital were selected and divided into control group(n=90)and observation group(n=90)according to the random number table method.Control group was given routine health education intervention,and observation group was given group cognitive behavioral psychological intervention based on the control group.The psychological state,compliance behavior and quality of life were compared between the two groups.Results:After intervention,the HAMA score(t=-5.241,P<0.05)and HAMD score(t=-3.707,P<0.05)in observation group were significantly lower than those in control group.The complete compliance rate in observation group was significantly higher than that in control group(χ~2=3.916,P<0.05).After intervention,the scores of physical field(t=3.818,P<0.05),psychological field(t=5.006,P<0.05)and social relationship field(t=4.403,P<0.05)in observation group were all significantly higher than those in control group.Conclusion:Group cognitive behavioral psychological intervention can effectively regulate the psychology of patients with chronic renal failure and hemodialysis,enhance their compliance behavior,and improve the quality of life.