摘要
目的探讨乳腺癌术后患者应用接纳与承诺疗法(ACT)干预的效果及对其负性情绪的改善作用。方法选择2021年3月—2023年3月在本院接受手术治疗的乳腺癌患者78例,按电脑数字表法随机分为两组,对照组39例予以常规术后护理,观察组39例在常规术后护理基础上实施ACT干预,对比两组的应对方式、自我接纳与创伤后成长水平、负性情绪及生活质量、护理满意度。结果观察组干预后的医学应对问卷(MCQM)各维度评分均优于对照组(P<0.05)、自我接纳问卷(SAQ)和简易创伤后成长量表(PTGI-SF)评分均比对照组高(P<0.05)、综合医院焦虑抑郁情绪测定问卷(HADS)中抑郁评价项目(HADS-D)和焦虑评价项目(HADS-A)评分均比对照组低(P<0.05)、乳腺癌患者生命质量测定量表(FACT-B)各维度评分均比对照组高(P<0.05),观察组护理满意度比对照组高(P<0.05)。结论对乳腺癌术后患者实施ACT干预可有效改善其应对方式,提升自我接纳与创伤后成长水平,并缓解负性情绪,进一步改善生活质量,进而提高其护理满意度。
Objective To explore the effect of acceptance and commitment therapy(ACT)intervention on postoperative patients with breast cancer and the improvement of their negative emotions.Methods 78 patients with breast cancer who received surgical treatment in our hospital from March 2021 to March 2023 were randomly divided into two groups according to the Computer Numerical Table.39 patients in the control group received routine postoperative care,and 39 patients in the observation group received ACT intervention on the basis of routine postoperative care.The coping style,self-acceptance and post-traumatic growth level,negative emotions,life quality,and nursing satisfaction of the two groups were compared.Results After intervention,the scores of all dimensions of the Medical Coping Modes Questionnaire(MCQM)in the observation group were better than those in the control group(P<0.05),the scores of the Self Acceptance Questionnaire(SAQ)and the PTGL-SF were higher than those in the control group(P<0.05),the scores of the HADS-D and HADS-A in the HADS were lower than those in the control group(P<0.05),and the life quality of breast cancer patients(FACT-B)The scores in all dimensions were higher than those in the control group(P<0.05),and the nursing satisfaction in the observation group was higher than that in the control group(P<0.05).Conclusion ACT intervention for postoperative patients with breast cancer can effectively improve their coping style,enhance their self acceptance and post-traumatic growth level,alleviate negative emotions,further improve their life quality,and then improve their nursing satisfaction.
作者
沈霞
邓鑫
秦平
王宇潇
SHEN Xia;DENG Xin;QIN Ping;WANG Yuxiao(The Second People's Hospital of Nantong,Nantong City,Jiangsu Province,China226002)
出处
《卫生职业教育》
2024年第10期131-134,共4页
HEALTH VOCATIONAL EDUCATION
关键词
乳腺癌
术后护理
接纳与承诺疗法
负性情绪
Breast cancer
Postoperative care
Acceptance and commitment therapy
Negative emotions
