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目的：探讨血液净化患者应用ABC情绪管理联合运动疗法的临床效果。方法：前瞻性选取2024年2月-2025年4月我院接诊的86例血液净化患者，按照随机数字分组法分为两组，对照组43例采取常规干预，观察组43例采取ABC情绪管理+运动疗法，对比两组自我感受负担、负面情绪、心理韧性、睡眠状态以及不良反应。结果：干预后，观察组自我感受负担量表(SPBS)各维度评分均低于对照组(t=-6.063，-4.460，-3.308；P＜0.05)；观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组(t=-5.987，-7.113；P＜0.05)；观察组Connor-Davidson心理韧性量表(CD-RISC)各维度评分均高于对照组(t=6.416，8.056，8.239；P＜0.05)；观察组匹兹堡睡眠质量指数(PSQI)各维度评分均低于对照组(t=-6.031，-5.794，-6.085；P＜0.05)；观察组不良反应发生率为13.95%，低于对照组的37.21%(χ2=6.108；P＜0.05)。结论：ABC情绪管理+运动疗法在血液净化患者的干预中有显著效果，能改善其自我感受负担和睡眠状态，并减轻负面情绪，强化心理韧性，可降低治疗期间不良反应发生率。
Abstract：Objective: To explore the clinical effect of combination of ABC emotional management and exercise therapy on patients with blood purification. Methods: A total of 86 patients with blood purification admitted to the hospital from February 2024 to April 2025 were prospectively selected and classified into two groups according to the random number grouping method. 43 patients in the control group were given routine intervention， and the remaining 43 patients in the observation group received ABC emotional management plus exercise therapy. The self-perceived burden， negative emotions， psychological resilience， sleep status and adverse reactions were compared between both groups. Results: After intervention， the scores of dimensions of Self-Perceived Burden Scale (SPBS) in the observation group were lower than those in the control group (t=-6.063， -4.460， -3.308， P<0.05). The Self-rating Anxiety Scale (SAS) score and Self-rating Depression Scale (SDS) were lower in the observation group than those in the control group (t=-5.987， -7.113， P<0.05). The scores of dimensions of Connor-Davidson Resilience Scale (CD-RISC) in the observation group were higher compared to the control group (t=6.416， 8.056， 8.239， P<0.05). The observation group had lower scores of various dimensions of Pittsburgh Sleep Quality Index (PSQI) (t=-6.031， -5.794， -6.085， P<0.05). The incidence of adverse reactions in the observation group was 13.95%， which was lower than 37.21% in the control group (χ2 = 6.108; P < 0.05).Conclusion: ABC emotional management plus exercise therapy has a significant effect in the intervention of patients with blood purification， and it can improve the self-perceived burden and sleep status， relieve the negative emotions， strengthen the psychological resilience， and reduce the incidence of adverse reactions during treatment.
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基本信息:
中图分类号:R473.5
引用信息:
[1]张平,曹振军,鲍文,等.ABC情绪管理联合运动疗法对血液净化患者自我感受负担、情绪及睡眠的影响[J].中国健康心理学杂志().
基金信息:
河南省中医药科学研究专项课题（编号：2024ZY2202）
2026-07-10
2026-07-10
2026-07-10