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接纳与承诺疗法在糖尿病足截肢病人中的应用 被引量:26

Application of acceptance and commitment therapy in patients with diabetic foot amputation
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摘要 [目的]探讨接纳与承诺疗法(ACT)在糖尿病足截肢病人中的应用效果。[方法]选择因糖尿病足行截肢术的病人52例随机分为对照组和观察组各26例,对照组进行常规治疗和护理,观察组在此基础上实施ACT疗法,干预前及干预6周后比较两组病人的心理灵活性得分、疼痛程度和生活质量。[结果]干预后,观察组生活质量总得分60.96分±14.62分,心理灵活性得分24.38分±5.40分,高于对照组(50.08分±15.79分,28.19分±5.56分),差异有统计学意义(P<0.05);且干预结束后观察组疼痛程度低于对照组(P<0.05)。[结论]ACT疗法能提高糖尿病足截肢病人的心理灵活性,改善其幻肢痛及生活质量。 Objective:To probe into the application effect of acceptance and commitment therapy (ACT) in patients with diabetic foot amputation.Methods:Fifty-two patients with diabetic foot amputation were randomly divided into control group and observation group.The control group received routine treatment and nursing,and the observation group was given ACT therapy on this basis,the scores of psychological flexibility,pain clegree and quality of life were compared between two groups before and 6 weeks after the intervention.Results:After the intervention,the scores of quality of life of observation group was 60.96 ±14.62 and the psychological flexibility score was 24.38±5.40 higher than the control group(50.08±15.79,28.19±5.56),the difference was statistically significant (P〈0.05) and after the intervention,the degree of pain in the observation group was lower than that in the control group (P〈0.05).Conclusion: ACT therapy could improve the patients with diabetic foot amputation psychological flexibility and improve phantom limb pain and quality of life.
作者 王希
出处 《护理研究(中旬版)》 2017年第8期2885-2888,共4页 Chinese Nursing Researsh
关键词 接纳与承诺疗法 糖尿病足 截肢 心理灵活性 生活质量 幻肢痛 acceptance and commitment therapy diabetic foot amputation psychological flexibility quality of life phantom limb pain
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