National Kidney Foundation, New York, New York, USA.
Soc Work Health Care. 2010;49(6):513-25. doi: 10.1080/00981380903212107.
Twenty-two social workers implemented a cognitive-behavioral intervention with 69 patients in 22 dialysis units in Louisiana to improve psychosocial health following Hurricanes Katrina and Rita. Pre- and post-intervention questionnaires measured psychosocial status domains (general health status, social functioning, burden of kidney disease, depressed mood, anxiety, and mastery). Participants rated their general health status (p < .05) and social functioning (p < .05) significantly higher after the intervention. Participants who listened to the class Managing stress through communication and problem solving and discussed it with their social worker, had significant improvement in depressed mood score (p < .05) after completing the program, compared to participants who did not discuss this material with their social worker. Sixty-five percent had scores indicating depressed mood before the program, compared with 56% following. The more positive participants' program evaluation, the higher their quality of life (lower perceived burden of kidney disease [p = .05]).
22 名社会工作者在路易斯安那州的 22 个透析单位为 69 名患者实施了认知行为干预，以改善卡特里娜飓风和丽塔飓风后的心理社会健康状况。干预前后的问卷调查测量了心理社会状况领域（一般健康状况、社会功能、肾脏疾病负担、抑郁情绪、焦虑和掌控感）。参与者在干预后对他们的一般健康状况（p <.05）和社会功能（p <.05）的评价显著提高。与未与社会工作者讨论该材料的参与者相比，参加了通过沟通和解决问题来管理压力的课程并与他们的社会工作者进行了讨论的参与者，其抑郁情绪评分有显著改善（p <.05）。在项目开始前，有 65%的参与者的抑郁情绪评分较高，而在项目结束后，这一比例下降到 56%。参与者对项目的评价越积极，他们的生活质量越高（感知到的肾脏疾病负担越低[P =.05]）。
