情绪释放疗法对中高度失志维持性血液透析患者的干预效果OA

Objective To investigate the effect of emotional freedom techniques on patients with moderate to high degree demoralization on maintenance hemodialysis(MHD).Methods A total of 88 patients were selected by convenience sampling who were admitted to the outpatient hemodialysis center of a Grade Ⅲ-A Chinese medicine hospital in Changchun from July to December 2022.They were randomly divided into the control group(n=44)and the observation group(n=44).The control group was given routine care,while the observation group was given emotional freedom techniques(tune-in,acupoint tapping,emotional desensitization and feedback)on this basis.After 4 months of intervention,the Distress Thermometer(DT),Demoralization Scale-Ⅱ(DS-Ⅱ)and Hospital Anxiety and Depression Scale(HADS)were used to evaluate the intervention effect in both groups.Results A total of 81 patients(41 in the control group and 40 in the observation group)completed the study.After 4 weeks of intervention,the scores of DT,DS-Ⅱ and its two dimensions as well as HADS were lower than those before intervention in both groups,and the observation group demonstrated superior scores compared to the control group(P<0.05).Conclusion Emotional freedom techniques can reduce the level of psychological distress and demoralization in MHD patients with moderate to high degree demoralization,and relieve their anxiety and depression.