接纳与承诺疗法在中青年维持性血液透析患者中的应用

目的探讨接纳与承诺疗法对中青年维持性血液透析患者自我效能和创伤后成长的影响。方法采用方便抽样法,选择2018年2月—2019年2月在连云港市第二人民医院接受维持性血液透析的患者作为研究对象。采用随机数字表法,随机分为试验组和对照组各42例,对照组采用常规护理,试验组在常规护理的基础上实施接纳与承诺疗法干预,采用一般自我效能感量表(GSES)、创伤后成长量表(PTGI)比较两组干预效果。结果试验组1例中途退出研究,最终试验组41例、对照组42例患者完成研究。干预6周后,试验组患者GSES量表(30.85±3.12)分,PTGI量表总分(67.89±8.43)分,均高于对照组,差异均有统计学意义(t值分别为12.254、10.002;P<0.05)。结论接纳与承诺疗法可改善中青年维持性血液透析患者创伤后成长水平,提高患者自我效能。

Application of acceptance and commitment therapy in young and middle-aged patients with maintenance hemodialysis

Objective To explore the effect of acceptance and commitment therapy on selfefficacy and post-traumatic growth among young and middle-aged patients with maintenance hemodialysis.Methods From February 2018 to February 2019,we selected patients with maintenance hemodialysis at the Second People's Hospital of Lianyungang as subjects by convenience sampling.All of patients were randomly divided into experimental group and control group with the method of random number table,42 cases in each group.Control group carried out routine nursing.On the basis of that,experimental group implemented acceptance and commitment therapy.The effects were compared with the General SelfEfficacy Scale(GSES)and Posttraumatic Growth Inventory(PTGI)between two groups.Results There were 41 cases finishing the research in experimental group and 42 cases in control group,except for one case of the experimental group withdrawing from the research.Six weeks after intervention,the scores of GSES and PTGI of patients in experimental group were(30.85±3.12)and(67.89±8.43)respectively higher than those in control group with statistical differences(t=12.254,10.002;P<0.05).Conclusions Acceptance and commitment therapy can improve post-traumatic growth as well as self-efficacy among young and middle-aged patients with maintenance hemodialysis.