接纳与承诺疗法心理干预对原发性肝癌患者负性情绪和治疗依从性的影响

The effects of acceptance and commitment therapy psychological intervention on negative emotion and treatment compliance of patients with primary liver cancer

目的:探讨接纳与承诺疗法(acceptance and commitment therapy,ACT)心理干预对原发性肝癌患者负性情绪和治疗依从性的影响。方法:选取2019年5月至2021年4月咸阳市中心医院收治的100例原发性肝癌患者进行前瞻性研究。按照入院时间顺序编号采用随机数字表法将100例患者分为干预组和对照组各50例。对照组患者给予常规心理护理,干预组患者在常规心理护理基础上实施ACT心理干预。比较两组患者治疗依从性,以及护理后抑郁自评量表(depression self-evaluation schedule,SDS)、焦虑自评量表(anxiety and self-evaluation scale,SAS)评分。结果:干预组患者治疗依从性高于对照组患者[96.0%(48/50)比78.0%(39/50)],且差异有统计学意义(χ^(2)=5.315,P<0.05)。护理后干预组患者SDS评分、SAS评分均低于对照组患者[(49.3±1.7)分比(53.0±1.6)分,(44.2±1.5)分比(48.9±1.5)分],且差异均有统计学意义(t=11.525、15.969,P均<0.001)。结论:应用ACT进行心理干预,可减少原发性肝癌患者负性情绪,提高其治疗依从性,改善患者心理压力,从而提高患者的生活质量。

Objective:To investigate the effects of acceptance and commitment therapy(ACT)psychological intervention on negative emotion and treatment compliance of patients with primary liver cancer.Method:Totally 100 patients were choose with primary liver cancer in our department for the observation object from May 2019 to April 2021.According to the admission time order using a random digital table to divide the patient into 50 cases of intervention group and control group.And the control group were given conventional care,intervention group implements ACT psychological intervention on the basis of regular care.Compared the results of the two groups.Result:Anxiety and self-evaluation scale(SAS)rating/depression self-evaluation schedule(SDS)score of the intervention group is lower than that of the control group[96.0%(48/50)vs 78.0%(39/50),χ^(2)=5.315,P<0.05].The treatment compliance of the intervention group was higher than that of the control group[(49.3±1.7)vs(53.0±1.6),t=11.525,P<0.001;(44.2±1.5)vs(48.9±1.5),t=15.969,P<0.001].Conclusion:Application of ACT psychological intervention,can reduce negative emotion of patients with primary liver cancer to improve their treatment compliance,reduce patient psychological pressure,thereby improving the survival quality of patients.