Blood Purification Center, Wenzhou TCM Hospital of Zhejiang Chinese Medical University, 325000 Wenzhou, Zhejiang, China.
Actas Esp Psiquiatr. 2024 Apr;52(2):122-129. doi: 10.62641/aep.v52i2.1562.
Hemodialysis patients usually suffer from anxiety due to physical and social factors, which belongs to a kind of psychological disorder, easily contributing to the decrease of patients' adherence to the treatment, and seriously affecting the patients' health status and quality of life. Solution-focused group counseling (SFGC) is a kind of psychotherapy proven to improve emotional problems in many fields. Still, the application of this therapy is rare in medical situations. This retrospective study aims to analyze the application of SFGC and probe into the effects on mental states in hemodialysis patients with anxiety.
From January 2022 to February 2023, 212 patients with hemodialysis and anxiety admitted to our hospital were selected, and 9 patients who did not meet the inclusion criteria were excluded. Finally, 203 patients were included in this retrospective study. According to different clinical management methods, 102 patients receiving routine management were classified as the control group (CG), and 101 patients receiving SFGC on the basis of routine management were included in the observation group (OG). The scores of the self-perceived burden scale (SPBS), medical coping modes questionnaire (MCMQ), and self-rating anxiety scale (SAS) of the two groups were collected. The data collected were calculated and processed by software SPSS 26.0, and the effects of different managements on the mental states of patients with hemodialysis and anxiety were compared.
After management, the scores of SPBS in both groups were lower than those before management, and the score in OG was significantly lower than the CG (p < 0.001). After management, the confrontation scores increased, the avoidance and resignation scores decreased in the MCMQ of the two groups, and the scores in the OG changed significantly (p < 0.001). The SAS scores of the two groups after management were significantly lower than those before management, and the OG score was significantly lower than the CG (p < 0.001).
SFGC has a positive effect on the mental states of patients with hemodialysis and anxiety, which is worthy of further clinical study.
血液透析患者常因躯体和社会因素而感到焦虑，这属于一种心理障碍，容易导致患者对治疗的依从性降低，严重影响患者的健康状况和生活质量。焦点解决团体心理咨询（SFGC）是一种经证实可改善多个领域情绪问题的心理疗法，但在医疗情境中的应用却很少。本回顾性研究旨在分析 SFGC 的应用，并探讨其对伴焦虑的血液透析患者心理状态的影响。
2022 年 1 月至 2023 年 2 月，选取我院收治的 212 例血液透析伴焦虑患者，排除不符合纳入标准的 9 例患者，最终共 203 例患者纳入本回顾性研究。根据不同的临床管理方法，将接受常规管理的 102 例患者分为对照组（CG），在常规管理的基础上接受 SFGC 的 101 例患者纳入观察组（OG）。收集两组患者的自我感受负担量表（SPBS）、医学应对方式问卷（MCMQ）和焦虑自评量表（SAS）评分。收集的数据由 SPSS 26.0 软件进行计算和处理，比较不同管理方式对血液透析伴焦虑患者心理状态的影响。
管理后，两组患者的 SPBS 评分均低于管理前，OG 评分明显低于 CG（p＜0.001）。管理后，两组患者的面对评分增加，回避和屈服评分降低，OG 变化更为显著（p＜0.001）。两组患者管理后的 SAS 评分均明显低于管理前，OG 评分明显低于 CG（p＜0.001）。
SFGC 对血液透析伴焦虑患者的心理状态有积极影响，值得进一步的临床研究。
