接纳与承诺疗法在脑胶质瘤术后患者中的护理效果

Nursing effect of acceptance and commitment therapy in postoperative patients with glioma

目的观察接纳与承诺疗法在脑胶质瘤术后患者中的干预效果。方法选取2017年1月至2021年1月在南京市第一医院接受开颅胶质瘤切除术治疗的100例脑胶质瘤患者,采用随机数字表法将其分为观察组和对照组,各50例。对照组术后接受常规外科干预,观察组接受接纳与承诺疗法干预,两组均干预至患者出院。分别于两组干预前、出院时对两组消极情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、心理灵活性[接纳与行动问卷(AAQ-Ⅱ)]及创伤后成长水平[创伤后成长问卷(PTGI)]进行评估,并比较两组评估结果。结果出院时,两组SAS、SDS评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);两组AAQ-Ⅱ评分低于干预前,PTGI评分高于干预前,且观察组AAQ-Ⅱ评分低于对照组,PTGI评分高于对照组,差异有统计学意义(P<0.05)。结论脑胶质瘤术后患者采用接纳与承诺疗法进行干预可显著减轻消极情绪,改善心理灵活性,有利于提高创伤后成长水平。

Objective To observe the intervention effect of acceptance and commitment therapy in postoperative patients with glioma.Methods A total of 100 patients with glioma who received craniotomy in the Nanjing First Hospital,Jiangsu Province from January 2017 to January 2021 were selected,and they were divided into observation group and control group,with 50 cases in each group by random number table method.The control group received routine surgical intervention after operation,and the observation group received acceptance and commitment therapy intervention,both groups intervened until patients were discharged.The negative emotions(self-rating anxiety scale[SAS],self-rating depression scale[SDS]),psychological flexibility acceptance,and action questionnaire([AAQ-Ⅱ]and post-traumatic growth level post-traumatic growth questionnaire[PTGI])of patients in both groups before intervention and at discharge were assessed,and compared the evaluation results between the two groups.Results The SAS and SDS scores of both groups at discharge were decreased than those before intervention,and the scores of the observation group were significantly lower than those of the control group,the differences were statistically significant(P<0.05).The AAQ-Ⅱscore of the two groups was lower than before intervention,and the PTGI score was higher than before intervention,and the observation group was lower than the control group,and the PTGI score was higher,the differences were statistically significant(P<0.05).Conclusion Acceptance and commitment therapy for intervention in patients after glioma surgery can significantly reduce negative emotion,improve psychological flexibility and is beneficial to improve the level of post-traumatic growth.