摘要
目的:探究团体接纳与承诺疗法(ACT)对结直肠癌患者反刍性沉思和心理一致感的影响。方法:选择某院于2019年1月至2020年5月收治的结直肠癌患者136例,采用随机数表法将其分为对照组与干预组,各68例。对照组行常规护理干预,干预组在对照组的基础上行团体ACT干预,两组均干预8周。分别采用反刍性沉思量表、心理一致感量表、心理弹性量表以及疾病不确定感量表评估患者干预前后的反刍性沉思、心理一致感、心理弹性以及疾病不确定感水平。结果:干预组干预后反刍性沉思量表中侵入性反刍性沉思评分低于对照组(t=2.71,P<0.05),目的性反刍性沉思评分及总分均高于对照组(t=5.35,3.15;P<0.05);干预组干预后心理一致感量表中理解感、控制感、价值感维度评分及总分均高于对照组(t=7.78,5.10,5.16,10.01;P<0.05);干预后干预组心理弹性量表中坚韧、力量及乐观各指标评分及总分均高于对照组(t=6.45,9.77,12.91,14.45;P<0.05);干预组干预后疾病不确定感量表评分低于对照组(t=4.390,P<0.05)。结论:对结直肠癌患者行团体ACT疗法,可有效改善患者反刍性沉思水平,提高其心理一致感与心理弹性,降低疾病不确定感。
Objective:To explore the effects of group acceptance and commitment therapy(ACT)on ruminant contemplation and psychological coherence in patients with colorectal cancer.Methods:A total of 136 patients with colorectal cancer admitted to the hospital from January 2019 to May 2020 were enrolled and divided into control group and intervention group by random number table method,68 cases in each group.The control group underwent routine nursing intervention,while intervention group underwent group ACT intervention on basis of control group.Both groups were intervened for 8 weeks.The levels of ruminant contemplation,psychological coherence,psychological resilience and disease uncertainty before and after intervention were evaluated by Ruminant Contemplation Scale,Psychological Coherence Scale,Psychological Resilience Scale and Disease Uncertainty Scale.Results:After intervention,score of invasive ruminant contemplation in Ruminant Contemplation Scale of intervention group was lower than that of control group(t=2.71,P<0.05),while score of purposeful ruminant contemplation and total score were higher than those of control group(t=5.35,3.15;P<0.05).After intervention,scores of understanding sense,control sense and value sense,and total score of Psychological Coherence Scale in intervention group were higher than those in control group(t=7.78,5.10,5.16,10.01;P<0.05).After intervention,scores of toughness,optimism and selfimprovement,and total score of Psychological Resilience Scale in intervention group were higher than those in control group(t=6.45,9.77,12.91,14.45;P<0.05),and score of Disease Uncertainty Scale was lower than that in control group(t=4.390,P<0.05).Conclusion:The application of group ACT therapy in patients with colorectal cancer can effectively improve ruminant contemplation,psychological coherence and psychological resilience,and reduce disease uncertainty.
作者
吕阳
李东艳
董妞
刘芳
孙俊锋
LVYang;LI Dongyan;DONG Niu(Department of Gastrointestinal Surgery,First Affiliated Hospital of Zhengzhou University/Department of Hernia and Abdominal Wall Surgery,Zhengzhou 450052,China)
出处
《中国健康心理学杂志》
北大核心
2021年第7期1055-1059,共5页
China Journal of Health Psychology
基金
国家自然科学基金资助项目(编号:81702343)。
关键词
接纳与承诺疗法
团体治疗
结直肠癌
反刍性沉思
心理一致感
Acceptance and commitment therapy
Group therapy
Colorectal cancer
Ruminant contemplation
Psychological coherence
