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慢性肾功能衰竭病人实施心理干预的研讨 |
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戴杏娟 方鲁 邢晓燕
摘要 对慢性肾功能衰竭病人进行心理干预以改善病人的生活质量。随机将156例病人分成观察组和对照组。观察组除常规中西药物治疗外，通过健康教育、自编自导肾病保健功，作放松治疗及心理咨询；对照组常规中西药物治疗。治疗前后两组均用SCL-90量表和慢性肾功能衰竭病人专用生活质量表进行评估。结果表明心理干预后观察组较对照组心理障碍发生率低(P＜0.05)，并且有较高的生活满意度(P＜0.05)。提示对慢性肾功能衰竭病人进行心理干预可以提高其生活质量。
关键词 慢性肾功能衰竭；心理干预；生活质量
Application of Counseling and Psychotherapy in Patients with Chronic Renal Failure
Dai Xinjuan, Fang Lu, Xing Xiaoyan
Hangzhou Red Cross Hospital of Zhejiang Province, Hangzhou 310004
Abstract The psychotherapy for the patients with chronic renal failure (CRF) was carried out to improve the living quality of the patients. A randomized control study was designed on 156 cases of CRF. The patients in the studied group received the treatment of health education, biofeedback and relaxation training, supportive psychotherapy besides drugs, while the patients in the control group were treated with drugs only. Two groups were investigated by means of symptom check list 90 (SCL-90) and one questionnaire of quality of life specific to end-stage renal disease patients and compared each other. The results showed that the psychological disturbance rate was lower in the patients of the studied group than control group (P＜0.05). There was no significant difference in objective quality of life between the two groups, but the overall life satisfaction was better in the patients of the studied group (P＜0.05). It was concluded that the application of counseling and psychotherapy for the patients with CRF might improve their mental health and living quality.
Key words chronic renal failure; psychotherapy; living quality
慢性肾功能衰竭(Chronic renal failure CRF)是一种严重威胁生命的常见病。大多数病人主要采用中西医结合药物治疗，治疗过程中病人多产生各种不良情绪和心理应激反应，对病情的反复发作有影响。因此，我们对病人进行临床心理干预，使病人心理障碍明显减轻，生活质量明显提高。报告如下。
1 对象和方法
1.1 对象 1997年3月至1998年2月在本院肾内科住院病人156例，均符合《肾脏病学》第二版诊断分期标准［1］。男86例，女70例，年龄24～71岁，平均45.8岁。随机分为两组，观察组82例，对照组74例。两组病人的原发病因、病程、肾功能衰竭程度、性别构成和[1] [2] 下一页
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