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OA

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 observa-tion 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 con-trol 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 observa-tion 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(x2=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 inci-dence of adverse reactions during treatment.