接纳承诺疗法对缺血性脑卒中颅内支架置入患者家属心理应激反应、应对方式及心理灵活性的影响被引量：4

Effects of acceptance and commitment therapy on psychological stress reaction,coping style and psychological flexibility in family members of patients with ischemic stroke underwent intracranial stenting

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摘要目的探讨接纳承诺疗法在缺血性脑卒中颅内支架置入患者家属中的应用对其心理应激反应、应对方式及心理灵活性的影响。方法选取2019年12月至2020年12月就诊的行颅内动脉支架患者120例及家属120名,根据随机数表法将家属分为研究组和对照组,每组60例。对照组采用常规护理干预,观察组在对照组的基础上采用接纳承诺疗法干预,对比2组干预前后的接纳与行动量表(AAQ-Ⅱ)及压力反应量表(SRQ)、应对方式量表(MCMQ)各维度评分。结果干预后,2组SRQ评分的情绪、躯体、行为及综合反应评分均低于干预前,且研究组SRQ评分的情绪、躯体、行为及综合反应评分均低于对照组(P<0.05);干预后,2组MCMQ评分的屈服、面对及回避评分均高于干预前,且研究组MCMQ评分的屈服、面对、及回避评分均高于对照组(P<0.05);干预后,2组AAQ-Ⅱ评分均低于干预前,且研究组AAQ-Ⅱ评分低于对照组(P<0.05)。结论接纳承诺疗法可有效改善缺血性脑卒中颅内支架置入患者家属心理灵活性,降低心理应激反应,提高积极应对方式。 Objective To investigate the effects of acceptance and commitment therapy on psychological stress reaction,coping style and psychological flexibility in family members of patients with ischemic stroke(IS)underwent intracranial stenting.Methods A total of 120 family members of patients with IS underwent intracranial stenting in our hospital from December 2019 to December 2020 were enrolled,and the family members were randomly assigned into observation group(n=60)and control group(n=60).All family members were managed by routine nursing intervention,and those in observation group additionally received acceptance and commitment therapy intervention.The scores of the second version of the Acceptance and Action Questionnaire(AAQ-Ⅱ),Sensory Responsiveness Questionnaire(SRQ),Medical Coping Modes Questionnaire(MCMQ)before and after the intervention were compared between the two groups.Results significantly decreased SRQ(emotion,body,behavior and comprehensive reaction)scores,significantly increased MCMQ(yielding,facing and avoiding)scores,significantly decreased AAQ-Ⅱscores were found in the two groups(all P<0.05),and the observation group was superior to the control group for SRQ,MCMQ and AAQ-Ⅱscores(P<0.05).Conclusion For family members of patients with IS underwent intracranial stenting,acceptance and commitment therapy can effectively improve psychological flexibility,reduce psychological stress reaction,and improve positive coping style.

作者高建梅张广玉回凤菊冯梅董兰真刘全亮 GAO Jianmei;ZHANG Guangyu;HUI Fengju(Department of Neurology,Cangzhou People’s Hospital,Hebei,Cangzhou 061000,China)

机构地区河北省沧州市人民医院神经内科

出处《河北医药》 CAS 2024年第13期2061-2064,共4页 Hebei Medical Journal

基金沧州市重点研发计划指导项目(编号:183302139)。

关键词接纳承诺疗法缺血性脑卒中颅内支架置入家属心理应激反应应对方式心理灵活性 acceptance and commitment therapy ischemic stroke intracranial stenting family members psychological stress reaction coping style psychological flexibility

分类号 R473.5 [医药卫生—护理学]