Short-term Psycho-intervention on Mental State of Patients with Hemodialysis / 中国心理卫生杂志

ABSTRACT

Objective:Try to study the effect of short-term psycho-intervention on mental status,medical coping mode,social supports and mood states in patients with maintance hemodialysis(MHD).Methods:61 MHD patients from Nol Wuhan Hospital were divided into intervention group and control group.The short-term psycho-intervention included healthy education,supportivc psychotherapy,circumstance therapy and education to patient's relatives.All patients' social psychology status were assessed at baseline and end of intervention by three questionnaires,such as Medical Coping Mode Questionnaire (MCMQ),Social Support Ouestionnaire and Profile of Mood States.Results:After intervention,most psychology indexes of intervention group improved. Acceptance-Resignation score decreased from 12.5?3.7 to 9.3?2.5,avoidance score decreased from 16.5?2.9 to 14.4?2.7,subjective support score increased from 16.2?5.6 to 21.6?5.1,support using score increased from 6.4? 2.3 to 8.8?2.8,Total support score increased from 32.5?8.1 to 38.9?6.7.Tension-Anxiety score decreased from 14.1?6.7 to 10.1?5.2,Depression-Dejection score decreased from 22.9?14.5 to 16.2?10.2, Anger-Hostility from 16.6?10.1 to 11.5?8.6,Confusion-Bewilderment decreased from 11.9?4.8 to 9.1?4.2,but Vigor-Activity increased from 10.3?6.2 to 15.1?5.4.There was no significant change in control group.Conclusion:Short-term psycho-intervention can improve medical copying mode,social support and mood states in MHD.