团体接纳与承诺疗法对颅脑损伤恢复期患者创伤后成长的效果研究

Effect of group acceptance and commitment therapy on post-traumatic growth of patients with concomitant brain injury

目的探讨团体情境下,接纳与承诺疗法干预对颅脑损伤恢复期患者创伤后成长的效果。 方法将2016年1月至2017年1月的40例因车祸、工伤等颅脑损伤恢复期患者设为对照组,进行常规的健康教育和指导,2次/周,共6次;将2017年2月至2018年2月的42例因车祸、工伤等颅脑损伤恢复期患者设为观察组,观察组在对照组基础上实施为期3周的团体接纳与承诺疗法干预。干预前后采用简体中文版创伤后成长评定量表进行测评。 结果干预后,观察组患者人生感悟、个人力量、新的可能性、与他人关系、自我转变以及创伤后成长总分分别为(18.68 ± 3.86)、(11.35 ± 2.67)、(10.49 ± 2.48)、(14.35 ± 2.95)、(10.49 ± 2.32)、(65.36 ± 14.28)分,对照组分别为(13.23 ± 3.10)、(9.46 ± 2.41)、(6.82 ± 1.72)、(11.81 ± 2.06)、(7.91 ± 1.89)、(49.23 ± 11.18)分,2组比较差异均有统计学意义(t=7.325~8.289,均P<0.05)。 结论团体接纳与承诺疗法干预可提升颅脑损伤恢复期患者创伤后成长水平,为临床医护人员促进颅脑损伤恢复期患者积极心理调适提供较可靠依据。

Objective To investigate the effect of acceptance and commitment therapy intervention on post-traumatic growth of patients with concomitant brain injury in group context.Methods From January 2016 to January 2017, 40 patients with recovery from craniocerebral injury such as car accidents and work-related injuries were set as the control group, and regular health education and guidance were conducted twice a week for 6 times. From February to February 2018, 42 patients with recovery from craniocerebral injury such as car accidents and work-related injuries were set as observation groups. The observation group was given a 3-week group acceptance and commitment therapy intervention on the basis of the control group. Before and after the intervention, the simplified Chinese version of the post-traumatic growth rating scale was used for evaluation.Results After intervention, the total scores of life perception, personal strength, new possibility, relationship with others, self-transformation and post-traumatic growth were (18.68±3.86), (11.35±2.67), (10.49±2.48), (14.35±2.95), (10.49±2.32), (65.36±14.28) points in the observation group, and were (13.23±3.10), (9.46±2.41), (6.82±1.72), (11.81±2.06), (7.91±1.89), (49.23±11.18) points the control group, the difference between the two groups were statistically significant (t=7.325-8.289, both P<0.05). Conclusions Group acceptance and commitment therapy intervention can improve the post-traumatic growth level of patients with recovery period of craniocerebral injury, and provide a reliable basis for clinical medical staff to promote positive psychological adjustment of patients with recovery period of craniocerebral injury.