Influence of Group Acceptance and Commitment Therapy Combined with Aerobic Exercise on Hemodialysis Patients
Objective:To explore the influence of group acceptance and commitment therapy combined with aerobic exercise on hemodialysis patients.Method:A total of 94 hemodialysis patients admitted to the Hemodialysis Room of Nephrology Department in the First Affiliated Hospital of Xiamen University from February 2021 to February 2022 were selected.According to the method of random number table,they were divided into control group and study group,47 cases in each group.The control group received routine nursing,and the study group received group acceptance and commitment therapy combined with aerobic exercise on the basis of control group.Fatigue condition,hope level,coping style and sleep quality were compared between the two groups before and after intervention.Result:After intervention,the scores of positive attitude,positive action and intimate relationship in both groups were improved,and the scores of positive attitude,positive action and intimate relationship in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).After intervention,multi-dimensional Piper fatigue scale revision(PFS-R)and Pittsburgh sleep quality index(PSQI)scores were decreased in both groups,and PFS-R score and PSQI score in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).After the intervention,the face coping scores of the two groups increased,and the avoidance and yielding coping scores decreased,the face coping scores of the study group were higher than those of the control group,and the avoidance and yielding coping scores were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Group acceptance and commitment therapy combined with aerobic exercise can effectively alleviate the fatigue degree of hemodialysis patients,improve the psychological state of patients,increase the level of hope of patients,enable patients to actively cope with the disease and improve sleep quality.
Group acceptance and commitment therapyAerobic exerciseHemodialysisDegree of fatigueQuality of sleep