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团体接纳与承诺疗法联合有氧运动对血液透析患者的影响

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目的:探讨团体接纳与承诺疗法联合有氧运动对血液透析患者的影响。方法:选取 2021 年 2 月—2022 年 2 月厦门大学附属第一医院肾内科血透室收治的 94 例血液透析患者。根据随机数表法将其分为对照组和研究组,各 47 例。对照组实施常规护理,研究组在对照组基础上给予团体接纳与承诺疗法联合有氧运动。比较两组干预前后疲乏情况、希望水平、应对方式、睡眠质量。结果:干预后,两组积极态度、积极行动、亲密关系评分均升高,研究组积极态度、积极行动、亲密关系评分均高于对照组,差异有统计学意义(P<0。05)。干预后,两组多维度Piper疲乏修订量表(PFS-R)、匹兹堡睡眠质量指数量表(PSQI)评分均降低,研究组PFS-R评分、PSQI评分均低于对照组,差异有统计学意义(P<0。05)。干预后,两组面对应对评分升高,回避、屈服应对评分均降低,研究组面对应对评分高于对照组,回避、屈服应对评分均低于对照组,差异有统计学意义(P<0。05)。结论:团体接纳与承诺疗法联合有氧运动能够有效缓解血液透析患者的疲乏程度,改善患者的心理状态,提高患者的希望水平,使患者积极应对疾病,改善睡眠质量。
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

罗连华、程琳

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厦门大学附属第一医院(福建省慢性肾小球疾病临床医学研究中心) 福建 厦门 361003

团体接纳与承诺疗法 有氧运动 血液透析 疲乏程度 睡眠质量

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(10)
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