首页|森田疗法对血液透析患者情绪状态及心理弹性的影响

森田疗法对血液透析患者情绪状态及心理弹性的影响

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目的 探讨森田疗法干预对血液透析患者情绪状态及心理弹性的影响.方法 2021年1月至2022年12月在信阳市中心医院治疗的96例血液透析患者随机分为观察组与对照组,各48例.对照组给予常规心理干预,观察组在此基础上接受森田疗法,干预时间为5周.采用汉密尔顿抑郁量表(HAMD)和焦虑量表(HAMA)进行情绪状态评价,采用心理弹性量表(CD-RISC)进行心理弹性评价,并于出院前进行护理满意度评价.结果 干预后,两组HAMD和HAMA评分均有降低,且观察组低于对照组(P<0.05);两组CD-RISC中坚韧性、自强性和乐观性3个维度评分均有升高,且观察组高于对照组(P<0.05);观察组护理总满意度高于对照组(P<0.05).结论 森田疗法配合心理干预可缓解血液透析患者焦虑、抑郁等负性情绪,提高心理弹性水平,有助于改善临床护患关系.
Effect of Morita Therapy Intervention on Emotional State and Psychological Resilience in Hemodialysis Patients
Objective To explore the effect of Morita therapy intervention on emotional state and mental resilience of hemodialysis patients.Methods A total of 96 hemodialysis patients in Xinyang Central Hospital from January 2021 to December 2022 were randomly divided into observation group and control group,with 48 cases in each group.The control group was given routine nursing and psychological intervention,and the observation group was given Morita therapy on this basis.The duration of intervention was 5 weeks.Before and after intervention,Hamilton depression scale(HAMD)and Hamilton anxiety scale(HAMA)were used to evaluate emotional state,Connor-Davidson resilience scale(CD-RISC)was used to evaluate mental resilience.Nursing satisfaction was evaluated before discharge.Results After intervention,the scores of HAMD and HAMA were decreased in both groups,and the scores in observation group were lower(P<0.05).The dimensions scores of resilience,self-reliance and optimism of CD-RISC were increased in both groups,and the scores in observation group were higher(P<0.05).The total satisfaction in observation group was higher than control group(P<0.05).Conclusion Morita therapy combined with psychological intervention could significantly relieve negative emotions of anxiety and depression in hemodialysis patients,enhance the level of psychological resilience,and help to improve the clinical nurse-patient relationship.

hemodialysisMorita therapypsychological interventionnegative emotionsmental resilience

胡晓洪

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信阳市中心医院综合医学科,河南信阳 464000

血液透析 森田疗法 心理干预 负性情绪 心理弹性

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(15)