Effects of Cognitive Behavioural Therapy on Mental Health and Sleep in Acute Kidney Injury Patients with Ureteral Calculi in the Emergency Department: A Retrospective Study

Yin Liang; Dan Yang; Qin Li; Zhihui Guo

doi:10.56434/j.arch.esp.urol.20247704.46

Effects of Cognitive Behavioural Therapy on Mental Health and Sleep in Acute Kidney Injury Patients with Ureteral Calculi in the Emergency Department: A Retrospective Study

Arch Esp Urol. 2024 May;77(4):338-344. doi: 10.56434/j.arch.esp.urol.20247704.46.

Authors

Yin Liang¹, Dan Yang², Qin Li², Zhihui Guo³

Affiliations

¹ Department of Emergency Medicine, West China Hospital, & West China School of Nursing, Sichuan University, & Institute of Disaster Medicine, Sichuan University, & Nursing Key Laboratory of Sichuan Province, 610041 Chengdu, Sichuan, China.
² Emergency Department, West China Hospital of Sichuan University, 610041 Chengdu, Sichuan, China.
³ Nursing Department, Shanghai International Medical Center, 200120 Shanghai, China.

PMID: 38840275
DOI: 10.56434/j.arch.esp.urol.20247704.46

Abstract

Background: Acute kidney injury (AKI) resulting from ureteral stones in the emergency department is typically accompanied with anxiety and sleep issues in patients, which can have adverse effects on their mental health and quality of life. Cognitive behavioural therapy (CBT) is helpful in improving mental health and sleep. This work aims to analyse the effects of CBT on mental health and sleep of AKI patients caused by ureteral calculi in the emergency department.

Methods: The clinical data of patients with AKI caused by ureteral calculi in the emergency department of our hospital from February 2021 to February 2023 were retrospectively analyzed. The patients were divided into the control group (routine nursing) and observation group (cognitive behavioural nursing) according to the different nursing methods of data recording. Propensity Score Matching (PSM) was used to balance the confounding factors of the two groups. After matching, the State Trait Anxiety Inventory (STAI), Insomnia Severity Index (ISI), Mishel Uncertainty in Illness Scale-Adult (MUIS) and 36-Item Short-Form Health Survey (SF-36) were compared between the two groups.

Results: After matching at a ratio of 1:1, 130 patients were included in the observation group and the control group, with 65 cases in each group. No significant difference was observed in STAI, ISI, MUIS and SF-36 scores between the two groups before nursing (p > 0.05). After nursing, the STAI, ISI and MUIS scores of the observation group were lower than those of the control group (p < 0.05). Furthermore, the SF-36 score of the observation group was higher than that of the control group (p < 0.05).

Conclusions: Cognitive behavioural nursing for patients with AKI caused by ureteral calculi in the emergency department may help in retrieving patients' anxiety, reducing the severity of disease uncertainty and insomnia, improving the quality of life of patients and providing theoretical reference for clinical practice.

Keywords: acute kidney injury; cognitive behavioural therapy; mental health; sleep; ureteral calculi.

MeSH terms

Acute Kidney Injury* / complications
Acute Kidney Injury* / etiology
Acute Kidney Injury* / psychology
Acute Kidney Injury* / therapy
Adult
Cognitive Behavioral Therapy*
Emergency Service, Hospital*
Female
Humans
Male
Mental Health*
Middle Aged
Retrospective Studies
Sleep
Sleep Wake Disorders / etiology
Sleep Wake Disorders / therapy
Ureteral Calculi* / complications
Ureteral Calculi* / therapy