团体认知行为对终末期肾病血液透析患者焦虑抑郁情绪及残余肾功能的影响
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摘要
目的:探究对终末期肾病(End stage renal disease,ESRD)血液透析(hemodialysis,HD)患者进行团体认知干预后,对其焦虑抑郁和残余肾功能的影响。方法:随机将我院符合标准的89例ESRD患者分为2组,常规组44例行常规干预,干预组45例予团体认知行为干预,对比2组患者1月末残余肾功能、24h尿量及焦虑抑郁状态。结果:1月后干预组患者SAS、SDS评分均低于常规组,24h尿量及残余肾功能值均高于常规组,差异有统计学意义(P<0.05)。结论:对ESRD患者进行团体认知行为干预,可改善患者焦虑、抑郁状态,减缓患者残余肾功能的下降,利于患者预后,值得推广应用。
Objective: To investigate the effects of group cognitive dryness on patients with end-stage renal disease(ESRD) hemodialysis(HD),anxiety,depression and residual renal function.Methods: 89 patients with ESRD who met our criteria were randomly assigned to two groups.A routine group of 44 routine routine interventions.Interventional group behavior intervention was performed in 45 patients in the intervention group.The residual renal function,24 h urine volume and anxiety and depression status of the 2 groups were compared at the end of January.Results: After1 month,the SAS and SDS scores of the intervention group were lower than those of the conventional group.The 24 h urine volume and residual renal function values were higher than the conventional group,and the difference was statistically significant(P<0.05).Conclusion: Group cognitive behavioral intervention in patients with ESRD can improve the anxiety and depression of patients and slow down the residual renal function of patients,which is beneficial to patients and is worthy of promotion.
Objective: To investigate the effects of group cognitive dryness on patients with end-stage renal disease(ESRD) hemodialysis(HD),anxiety,depression and residual renal function.Methods: 89 patients with ESRD who met our criteria were randomly assigned to two groups.A routine group of 44 routine routine interventions.Interventional group behavior intervention was performed in 45 patients in the intervention group.The residual renal function,24 h urine volume and anxiety and depression status of the 2 groups were compared at the end of January.Results: After1 month,the SAS and SDS scores of the intervention group were lower than those of the conventional group.The 24 h urine volume and residual renal function values were higher than the conventional group,and the difference was statistically significant(P<0.05).Conclusion: Group cognitive behavioral intervention in patients with ESRD can improve the anxiety and depression of patients and slow down the residual renal function of patients,which is beneficial to patients and is worthy of promotion.
引文
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[10]王成玉,罗宇珍,黄昱铭,等.持续性非卧床腹膜透析死亡患者透析龄及其相关因素研究[J].中国全科医学,2016,19(36):4447-4450.
[11]王身菊,朱美凤,邓祥军,等.保元排毒丸对维持性血液透析患者残余肾功能的影响[J].中成药,2016,38(1):46-49.
[2]满中敏,刘艳姝,郭彩霞,等.终末期肾病患者高迁移率族蛋白-1与晚期氧化蛋白产物的研究[J].黑龙江医药科学,2017,40(3):50-52.
[3]热依汉古丽·艾则孜,李梦思,张娟,等.腹膜透析与维持性血液透析患者焦虑抑郁及营养状况的比较[J].临床内科杂志,2018,35(3):201-202.
[4]中华中医药学会肾病分会.原发性肾病综合征的诊断、辨证分型及疗效评定(试行方案)[J].上海中医药杂志,2006,40(10):51-52.
[5]孙雪,谢珺.维持性控制护理模式对血液透析终末期肾病患者临床成效研究[J].河北医药,2016,38(6):945-947.
[6]王梅.牛津临床透析手册[M].北京:人民卫生出版社,2006:124-125.
[7]陈良妹,董晓明,杨帆,等.锌缺乏症对慢性肾脏病发展的影响及其作用机制的研究进展[J].吉林大学学报(医学版),2018,44(1):195-199.
[8]谢巧珍,刘锦霞.团体认知行为干预对维持性血液透析患者负性情绪的影响[J].重庆医学,2015,(8):1141-1143.
[9]解修花.终末期肾病患者自我感受负担与自我效能、焦虑抑郁的相关性分析[J].国际护理学杂志,2017,36(14):1906-1910.
[10]王成玉,罗宇珍,黄昱铭,等.持续性非卧床腹膜透析死亡患者透析龄及其相关因素研究[J].中国全科医学,2016,19(36):4447-4450.
[11]王身菊,朱美凤,邓祥军,等.保元排毒丸对维持性血液透析患者残余肾功能的影响[J].中成药,2016,38(1):46-49.