上海护理2017，Vol.17Issue(2)：29-34,6.
认知行为干预对中青年腹膜透析患者疾病不确定感和应对方式的影响
Effects of cognitive-behavioral therapy on illness uncertainty and coping style of young and middle-aged patients undergoing peritoneal dialysis
摘要
Abstract
Objective To evaluate the effects of cognitive-behavioral therapy on the illness uncertainty and coping style of young and middle-aged patients undergoing peritoneal dialysis.Methods A total of 76 young and middle-aged peritoneal dialysis patients in stable condition in The First Affiliated Hospital of Guangxi Medical University hospitalized from March 2014 to December 2015 were randomly divided into the control group and the intervention group (38 cases each). The control group received the routine nursing care. On the basis of routine nursing care,the intervention group received cognitive-behavioral intervention once a week for twelve weeks. The patients were investigated with Mishel 's Uncertainty in Illness Scale-Adult and Medical Coping Modes Questionnaire at baseline,four weeks and twelve weeks during the intervention.Results Totally 73 patients went to the end of the study,including 37 patients in the intervention group and 36 in the control group. The scores of total illness uncertainty and resignation coping style decreased significantly after intervention,while the score of confrontation coping style increased significantly after intervention. At 4 weeks and 12 weeks during the intervention,the scores of total illness uncertainty and resignation coping style in the intervention group were lower than those in the control group (P<0. 05). At 12 weeks during the intervention,the score of confrontation coping style was higher in the intervention group than that in the control group (P<0.05).Conclusion Cognitive-behavioral therapy can reduce the illness uncertainty and negative coping style,promote positive coping style in young and middle-aged patients undergoing peritoneal dialysis.关键词
终末期肾病/腹膜透析/认知行为干预/疾病不确定感/应对方式Key words
End stage renal disease/Peritoneal dialysis/Cognitive-behavioral therapy/Illness uncertainty/Coping style分类
医药卫生引用本文复制引用
李浩宇,黄燕林,黄柳,邹宝林..认知行为干预对中青年腹膜透析患者疾病不确定感和应对方式的影响[J].上海护理,2017,17(2):29-34,6.基金项目
广西壮族自治区教育厅高校科研项目(项目编号:YB2014087) （项目编号:YB2014087）
广西壮族自治区卫生厅科研课题(合同号:Z2014653). （合同号:Z2014653）
