Valsaraj Blessy Prabha, Bhat Shripathy M, Latha K S
Associate Professor, Department of Psychiatric/Mental Health Nursing, Manipal College of Nursing, Manipal University , Karnataka, India .
Professor, Department of Psychiatry, Kasturba Medical College, Manipal University , Manipal, Karnataka, India .
J Clin Diagn Res. 2016 Aug;10(8):VC06-VC10. doi: 10.7860/JCDR/2016/18959.8383. Epub 2016 Aug 1.
Chronic Kidney Disease (CKD) is becoming a major public health problem worldwide. The very diagnosis of CKD brings a plethora of psychological problems that adds to the agony of the debilitating illness. Financial difficulties apart from the excruciating physical burden of the disease, owing to series of psychosocial issues. Anxiety and depression are two major concerns that to be managed effectively to sustain the life of people undergoing Haemodialysis.
The study aimed at finding the effect of Cognitive Behaviour Therapy (CBT) on anxiety and depression among people undergoing haemodialysis.
An experimental approach with Randomized controlled trial design was adopted for the study. The instruments used for data collection were Background Proforma and Hospital Anxiety and Depression Scale (HADS). A total of 150 subjects undergoing haemodialysis in a tertiary care hospital of South Karnataka were screened for inclusion and exclusion criteria and 80 participants were recruited for the study. Through computerized block randomization 40 each were allotted to experimental and control groups whereas 33 and 34 respectively in both the groups completed the study. CBT, a structured individual therapy of cognitive, behavioural and didactic techniques, with 10 weekly sessions each was administered to the experimental group. Non-directed counseling, a psychological intervention with ten weekly sessions of individual counseling was given to the control group.
The findings of the study revealed that there was a significant reduction of mean anxiety (F=76.739, p=0.001) and depression (F=57.326, p= 0.001) in the experimental group when compared with the control group.
Researchers concluded that CBT can be effectively utilized for people undergoing haemodialysis in order to obtain control over their negative thoughts thereby reducing anxiety and depression.
慢性肾脏病（CKD）正在成为全球主要的公共卫生问题。CKD的确诊带来了大量心理问题，这加剧了这种使人衰弱疾病的痛苦。除了疾病带来的极度身体负担外，由于一系列社会心理问题还会导致经济困难。焦虑和抑郁是两个主要问题，需要有效管理以维持接受血液透析患者的生命。
本研究旨在探讨认知行为疗法（CBT）对血液透析患者焦虑和抑郁的影响。
本研究采用随机对照试验设计的实验方法。用于数据收集的工具是背景调查表和医院焦虑抑郁量表（HADS）。在南卡纳塔克邦一家三级护理医院对150名接受血液透析的受试者进行筛选，以确定纳入和排除标准，招募了80名参与者进行研究。通过计算机化区组随机化，每组各分配40人至实验组和对照组，而两组分别有33人和34人完成了研究。对实验组实施CBT，这是一种结构化的个体治疗，包括认知、行为和说教技术，每周进行10次治疗。对对照组进行非定向咨询，这是一种个体咨询的心理干预，每周进行10次。
研究结果显示，与对照组相比，实验组的平均焦虑（F = 76.739，p = 0.001）和抑郁（F = 57.326，p = 0.001）有显著降低。
研究人员得出结论，CBT可有效用于血液透析患者，以控制他们的消极想法，从而减少焦虑和抑郁。
