摘要
目的:研究重型颅脑损伤恢复期患者使用接纳与承诺疗法(ACT)对心理弹性及创伤后成长的影响。方法:选择某院2015年3月-2019年2月收治的重型颅脑损伤恢复期患者132例,根随机分为对照组和观察组各66例,其中对照组实施常规健康教育(2次/周,6次),观察组在此基础上使用接纳与承诺疗法(3周)。观察干预前后两组患者心理弹性量表(CD-RISC)、创伤后成长量表(PTGI)、Zung抑郁自评量(SDS)、Zung焦虑自评量表(SAS)、Karnofsky预后评定表(KPS)、日常生活能力(ADL)、生活满意度表(SWIS)评分情况。结果:观察组干预后CD-RISC量表中坚韧、乐观、自强维度评分均高于对照组(t=14.774,7.282,2.773;P<0.05);观察组干预后PTGI量表中欣赏生活、个人力量、新的可能性、人际关系、精神改变维度评分均高于对照组(t=12.215,14.382,8.840,7.302,6.659;P<0.05);观察组干预后SAS、SDS评分明显低于对照组(t=9.050,6.883;P<0.05);观察组干预后KPS、ADL、SWIS评分均高于对照组(t=6.794,3.194,2.440;P<0.05)。结论:重型颅脑损伤恢复期患者使用CAT干预措施能有效提高自身弹性心理状态,提升创伤后成长水平,有利于改善其恢复期产生的不良情绪,有利于生活质量的提高。
Objective:To study the effects of acceptance and commitment therapy(ACT)on psychological resilience and post-traumatic growth in convalescent patients with severe craniocerebral injury.Methods:132convalescent patients with severe craniocerebral injury treated in our hospital from March 2015to February 2019were randomly divided into control group(n=66)and observation group(n=66).The control group received routine health education(twice a week,6times),while the observation group received acceptance and commitment therapy(3weeks).The scores of psychological resilience scale(CD-RISC),post-traumatic growth scale(PTGI),Zung self-rating depression scale(SDS),Zung self-rating anxiety scale(SAS),Karnofsky prognosis scale(KPS),activities of daily living(ADL)and life satisfaction scale(SWIS)were observed before and after intervention.Results:The scores of tenacity,optimism and self-improvement in CD-RISC after intervention in the observation group were significantly higher than those in the control group(t=14.774,7.282,2.773;P<0.05),and the scores of perception of life,personal strength,new possibility,relationship with others and self-transformation in the PTGI scale after intervention in the observation group were significantly higher than those in the control group(t=12.215,14.382,8.840,7.302,6.659;P<0.05).After intervention,the scores of SAS and SDS in the observation group were significantly lower than those in the control group(t=-9.050,-6.883;P<0.05),while the scores of KPS,ADL and SWIS in the observation group were significantly higher than those in the control group(t=6.794,3.194,2.440;P<0.05).Conclusion:ACT intervention can effectively improve the psychological resilience state,improve the post-traumatic growth level,improve the bad mood and improve the quality of life of convalescent patients with severe craniocerebral injury.
作者
孔羽
刘文慧
常天颖
杨利
崔嬿嬿
KONG Yu;LIU Wenhui;CHANG Tianying(Comprehensive ICU of the First Affiliated Hospital of Zhengzhou University,Henan Zhengzhou 450052,China)
出处
《中国健康心理学杂志》
2020年第10期1463-1468,共6页
China Journal of Health Psychology
基金
国家青年自然科学基金(编号:81802781)。
关键词
接纳与承诺疗法
重型颅脑损伤
恢复期
心理弹性
创伤后成长
Acceptance and commitment therapy
Severe craniocerebral injury
Recovery period
Psychological resilience
Post-traumatic growth
