认知行为干预对尿毒症腹膜透析患者疾病不确定感、应对方式和情绪的影响的开题报告.docx

认知行为干预对尿毒症腹膜透析患者疾病不确定感、应对方式和情绪的影响的开题报告
中文摘要：
尿毒症腹膜透析（peritonealdialysis，PD）患者常常因为需要长期的治疗和不确定的疾病进展而感到焦虑和沮丧。认知行为干预（cognitive-behavioraltherapy，CBT）作为一种心理治疗方式，已经在临床实践中得到广泛应用。本研究旨在探究CBT对PD患者疾病不确定感、应对方式和情绪的影响。研究方法采用分层随机抽样，将PD患者随机分为对照组和实验组，其中实验组接受CBT干预，对照组不接受任何干预。使用疾病不确定感量表、应对方式量表和情绪量表进行前后测试，比较两组差异。预计CBT干预可以显著改善PD患者的疾病不确定感，提高其应对方式的积极性，缓解负向情绪，本研究的结果可以对CBT在PD患者治疗中的应用提供一定的理论依据和临床指导。
英文摘要：
Peritonealdialysispatientswithend-stagerenaldiseaseoftenfeelanxiousanddepressedduetolong-termtreatmentanduncertaindiseaseprogression.Cognitive-behavioraltherapy(CBT)hasbeenwidelyusedasapsychologicaltreatmentapproachinclinicalpractice.ThepurposeofthisstudyistoinvestigatetheinfluenceofCBTondiseaseuncertainty,copingstrategies,andemotionsofPDpatients.ThestudymethodusesstratifiedrandomsamplingtorandomlyassignPDpatientstotheexperimentalgroupandthecontrolgroup,withtheexperimentalgroupreceivingCBTinterventionandthecontrolgroupnotreceivinganyintervention.Thediseaseuncertaintyscale,copingstrategiesscale,andemotionalscalewereusedforpre-andpost-teststocomparedifferencesbetweenthetwogroups.ItisexpectedthatCBTinterventioncansignificantlyimprovethediseaseuncertaintyofPDpatients,increasethepositivityoftheircopingstrategies,andalleviatenegativeemotions.TheresultsofthisstudycanprovideatheoreticalbasisandclinicalguidancefortheapplicationofCBTinthetreatmentofPDpatients.
Introduction:
End-stagerenaldiseaseisaserioushealthproblemthatrequireslong-termdialysistreatment,whichcannegativelyaffectthephysicalandmentalwell-beingofpatients.Peritonealdialysisisacommontreatmentoptionforend-stagerenaldiseasepatients,whichinvolvestheuseoftheperitonealmembranetoremovetoxinsfromthebody.However,patientsundergoingperitonealdialysisoftenexperienceuncertaintyabouttheirdiseaseprogression,whichcanleadtonegativeemotionsandmaladaptivecopingstrategies.
Cognitive-behavioraltherapy(CBT)isapsychologicaltreatmentapproachthatfocusesonchangingnegativethoughtsandbehaviorstoimproveemotionalandmentalwell-being.CBThasbeenshowntobeeffectiveintrea