接纳与承诺干预对糖尿病视网膜病变患者负性情绪及自护能力的影响

目的评价接纳与承诺干预对糖尿病视网膜病变患者负性情绪和自护能力的影响。方法选取本科2019年12月至2020年6月接诊82例糖尿病视网膜病变患者,随机将患者均分为观察组和对照组。对照组(n=41)给予常规健康教育护理,观察组(n=41)在对照组基础上开展接纳与承诺疗法(ACT),进行认知行为健康教育护理。采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)及糖尿病控制状况评价量表(CSSD70)评价患者护理前后的负性情绪及自护能力。结果护理前,两组患者HAMA评分、HAMD评分及CSSD70评分均无明显差异(P>0.05);经临床护理,两组HAMA评分、HAMD评分均显著下降,CSSD70各指标评分均显著升高,组内比较差异有统计学意义(P<0.05);护理后,观察组HAMA、HAMD评分均低于对照组,CSSD70各指标评分均高于对照组(P<0.05)。结论接纳与承诺疗法(ACT)可有效缓解糖尿病视网膜病变患者的负性情绪,提升患者自护能力,建议在临床护理中逐步推广应用。

Objective To evaluate the influence of acceptance and commitment therapy(ACT)on negative emotion and self-care ability in patients with diabetic retinopathy(DR).Methods 82 patients with DR who were admitted to our department from December 2019 to June 2020 were selected and randomly divided into the experimental group and the control group.The control group(n=41)was given routine health education and nursing,and the experimental group(n=41)carried out acceptance and commitment therapy(ACT)on the basis of the control group,and received cognitive behavioral health education and nursing.The Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)and Diabetes Control Status Evaluation Scale(CSSD70)were used to evaluate the negative emotions and self-care ability of patients before and after nursing.Results Before nursing,there was no significant difference in HAMA,HAMD scores and CSSD70 scores between the two groups(P>0.05).After clinical nursing,the HAMA and HAMD scores of the two groups were significantly decreased,and the CSSD70 scores were significantly increased,comparison within the group(P<0.05).After nursing,the HAMA and HAMD score of the experimental group were lower than those of the control group,and the index scores of CSSD70 were higher than the control group,with statistical significance(P<0.05).Conclusion ACT can effectively alleviate the negative emotions of patients with DR and improve the self-care ability of patients.It is recommended that it be gradually promoted and applied in clinical nursing.