Volume 29, Issue 3
DOI: 10.24205/03276716.2020.918
Intervention Effect of Cognitive Behavioral Therapy on Postoperative Anxiety and Self-management in Renal Transplant Recipients
Abstract
Objective. The purpose was to explore the effect of cognitive behavioral therapy (CBT) on postoperative anxiety and self-management in renal transplant recipients. Methods. 30 renal transplant recipients treated in our hospital from October 2019 to April 2020 were selected as the study subject, and divided into control group and test group according to their admission order. The control group patients received 3 weeks of conventional intervention, and the test group patients received 3 weeks of CBT intervention to analyze the psychological status (MSSNS score), sleep index (PSQI score) and self-management ability (CDSMS score and SMAS-30 score) of the two groups of patients after intervention. Results. The MSSNS score of the test group (47.03±8.40) was significantly lower than that of the control group (56.93±11.78), with statistical significance (t=3.23, P=0.00). The PSQI score of the test group (5.83±4.78) was significantly lower than that of the control group (9.32±5.77), with statistical significance (t=1.80, P=0.08). The CDSMS and SMAS-30 scores of the test group (38.43±2.62 and 21.03±3.25) were significantly better than those of the control group (22.31±5.22 and 37.85±5.59), with statistical significance (t=10.69, t=10.07, p=0.00, p=0.00). Conclusion. The implementation of CBT for renal transplant recipients after surgery can reduce unhealthy psychological reactions, improve sleep quality and enhance self-management ability of patients.
Keywords
cognitive behavioral therapy (CBT); renal transplant recipients; postoperative; anxiety; self-management; intervention