Effects of acceptance and commitment therapy on the disease adaptability and self-perceived burden among patients undergoing early stage of peritoneal dialysis

 目的:探讨接受与实现疗法在早期腹膜透析患者中的应用效果。方法:选取2018年3月至2020年1月在上海市同济医院肾内科治疗的100例早期腹膜透析患者作为研究对象。按照随机数字表法分为试验组和对照组各50例。对照组给予常规护理，试验组实施为期6周的接受与实现疗法。采用疾病心理社会适应量表（PAIS-SR）和自我感受负担量表（SPBS）评价干预效果。结果:最终试验组纳入44例，对照组纳入46例。干预后，试验组PAIS-SR中卫生保健、工作能力、家庭关系、交流情况、娱乐情况、心理状况维度得分及总分分别为（7.93 ± 1.50）、（9.11 ± 1.38）、（6.61 ± 1.73）、（6.82 ± 1.42）、（6.82 ± 1.66）、（8.18 ± 1.79）、（50.91 ± 4.24）分，低于对照组的（9.63 ± 1.22）、（10.78 ± 1.64）、（7.50 ± 2.07）、（7.57 ± 2.05）、（7.50 ± 1.07）、（9.43 ± 1.92）、（58.02 ± 4.13）分，差异有统计学意义（ t值为2.02 ~ 8.07，均 P<0.05）。干预后，试验组SPBS中身体负担、情感负担得分及总分分别为（9.68 ± 1.75）、（14.54 ± 1.76）、（30.89 ± 2.99）分，低于对照组的（10.80 ± 1.82）、（16.11 ± 2.04）、（33.65 ± 3.19）分，差异有统计学意义（ t=2.98、3.89、4.24，均 P<0.05）。 结论:接受与实现疗法能提高早期腹膜透析患者疾病适应能力，降低其自我感受负担

Objective: To study the effect of the application of therapy in early peritoneal dialysis patients. Methods: 100 cases of early peritoneal dialysis patients treated at 上海市同济发送青内科 in 2018年3月至2020年年科 were used as research subjects. According to the random number table, 50 cases were divided into the experimental group and the control group. Therapy. Using the PAIS-SR and Self-Sensitivity Scale (SPBS) to evaluate the effect of the intervention. Results: The final experimental group included 44 cases and the control group included 46 cases. ± 1.50), (1.38 ± 9.11), (1.73 ± 6.61), (1.42 ± 6.82), (1.66 ± 6.82), (8.18 ± 1.79), (4.24 ± 50.91), lower than the control group (1.22 ± 9.63), (1.64 ± 10.78), (2.07 ± 7.50), (2.05 ± 7.57), (1.07 ± 7.50), (1.92 ± 9.43), (58.02 ± 58.02) 4.13) 分，the difference is statistically significant (t value is 2.02 ~ 8.07，均P<0.05). After the intervention, the test group SPBS’s body burden, emotional burden score and overall score are (9.68 ± 1.75), (14.54 ± 1.76), (30.89 ± 2.99) respectively, lower than the control group’s (1.82 ± 10.80), (16.11 ± 2.04), (±33.65 3.19) 分，电影有知道学是(t=2.98、3.89、4.24、均P<0.05).Conclusion: Acceptance and implementation of therapy can improve the early stage of peritoneal dialysis patients' disease adaptation ability, reduce their self-esteem.