<strong>Objective:</strong> To summarize 1 case of ACT (Acceptance and Commitment Therapy, as “ACT”) psychological nursing clinical experience. <strong>Method:</strong> ACT Application for ps...<strong>Objective:</strong> To summarize 1 case of ACT (Acceptance and Commitment Therapy, as “ACT”) psychological nursing clinical experience. <strong>Method:</strong> ACT Application for psychological nursing, provides detailed program guidance for psychological care. <strong>Results:</strong> Sleep quality, psychological flexibility and self-management ability of the patient have been improved. <strong>Conclusion:</strong> It’s the first time to apply ACT to the psychological nursing for a stroke patient, which has achieved good results;it provides a detailed clinical experience as guidance for the development of psychological nursing;it also provides a clinical basis for the follow-up exploration of psychological nursing technology model.展开更多
Chronic pain is a complex condition that is very detrimental to physical and psychological wellbeing. It carries a significant level of disability and economic burden. Pain patients frequently experience comorbid ment...Chronic pain is a complex condition that is very detrimental to physical and psychological wellbeing. It carries a significant level of disability and economic burden. Pain patients frequently experience comorbid mental illness (e.g. depression, anxiety, PTSD, insomnia) and often require psychotherapeutic interventions in addition to medication management. Mindfulness-based interventions (MBIs) have emerged as a means to treat several chronic conditions (e.g. chronic pain, depression, anxiety, substance abuse, stress, insomnia). The objective of this review is to evaluate the current research on the use of MBIs in chronic pain managment. Although there are several controlled trials on the use of MBIs in chronic pain management, only a few studies were found that demonstrated significant effects on pain intensity, quality of life, as well as physical and psychological functioning. Therefore, the current evidence is mixed and there are insufficient data to definitively confirm the full impact of the use of MBIs in chronic pain conditions such as fibromyalgia, chronic low back pain, rheumatoid arthritis, and chronic musculoskeletal pain. The lack of compelling evidence at this time signals a demand for higher quality investigations in this area. Research examining MBIs and concomitant CBT may be of great value in order to synergize and strengthen patient outcomes.展开更多
目的系统评价接纳与承诺疗法(acceptance and commitment therapy,ACT)对癌症患者心理健康和生活质量的影响。方法检索建库至2022年11月在CBM、万方、知网、维普、PubMed、Cochrane Library、Web of Science、EMbase数据库发表的有关AC...目的系统评价接纳与承诺疗法(acceptance and commitment therapy,ACT)对癌症患者心理健康和生活质量的影响。方法检索建库至2022年11月在CBM、万方、知网、维普、PubMed、Cochrane Library、Web of Science、EMbase数据库发表的有关ACT对癌症患者心理健康和生活质量影响的随机对照试验。由2名研究者根据纳入及排除标准独立筛选文献、质量评价并提取数据,采用RevMan 5.4进行meta分析。结果共纳入14篇文献,1063例癌症患者。Meta分析结果显示,ACT在改善癌症患者的焦虑[SMD=-1.04,95%CI(-1.19,-0.89),P<0.01]、抑郁情绪[SMD=-0.73,95%CI(-0.88,-0.59),P<0.01],提升心理灵活性[MD=-2.17,95%CI(-2.77,-1.57),P<0.01]及生活质量[MD=5.27,95%CI(3.57,6.98),P<0.01]方面差异具有统计学意义。结论ACT有助于缓解癌症患者的焦虑及抑郁情绪,提升心理灵活性及生活质量,对促进癌症患者的心理健康和生活质量具有积极作用。展开更多
目的探讨接纳承诺疗法(acceptance and commitment therapy,ACT)对粒子治疗肺癌患者癌症复发恐惧(fear of cancer recurrence,FCR)的影响。方法采用便利抽样法,选取2023年2-6月我院肿瘤科四病房和六病房的肺癌患者74例,采用抛硬币法将...目的探讨接纳承诺疗法(acceptance and commitment therapy,ACT)对粒子治疗肺癌患者癌症复发恐惧(fear of cancer recurrence,FCR)的影响。方法采用便利抽样法,选取2023年2-6月我院肿瘤科四病房和六病房的肺癌患者74例,采用抛硬币法将六病房的37例患者作为对照组,四病房的37例患者作为干预组。对照组采用常规护理,干预组采用基于接纳承诺治疗模型框架为指导,结合相关著作和文献分析结果形成的粒子治疗肺癌患者的ACT干预方案。比较2组患者干预前、干预后、干预后3个月FCR水平、心理灵活性和心理痛苦程度。结果干预前,2组患者FCR水平、心理灵活性和心理痛苦程度比较,差异均无统计学意义(P>0.05)。干预后及干预后3个月,干预组FCR水平、心理灵活性和心理痛苦程度均优于对照组,除FCR中社会家庭维度无统计学意义(P>0.05),其余均有统计学意义(P<0.05)。除心理灵活性总分外,FCR总分及各维度得分、心理痛苦程度总分的交互效应均无统计学意义(P>0.05)。结论ACT能有效降低粒子治疗肺癌患者的FCR水平和心理痛苦程度,提高其心理灵活性,有利于患者的身心健康。展开更多
目的应用CiteSpace软件对国内外接纳承诺疗法在护理领域应用的现状、热点和趋势进行可视化分析,为其进一步发展提供参考依据。方法检索中国知网、万方数据库、维普中文科技期刊数据库、中国生物医学文献数据库、Web of Science核心合集...目的应用CiteSpace软件对国内外接纳承诺疗法在护理领域应用的现状、热点和趋势进行可视化分析,为其进一步发展提供参考依据。方法检索中国知网、万方数据库、维普中文科技期刊数据库、中国生物医学文献数据库、Web of Science核心合集数据库自建库至2022年7月31日发表的所有文献,使用CiteSpace 6.2.R1软件进行分析。结果纳入国内文献266篇,国外文献623篇,国外文献发文量远高于国内,整体发文趋势呈先升后降;国内外作者联系相对分散;机构合作均集中于医院及综合性高校,跨学科、机构、地区合作少;根据关键词分析,发现国内主要注重精神心理障碍疾病的儿童、青少年、大学生、有焦虑和抑郁症状的医护人员等群体的团体心理干预,以及对恶性肿瘤患者实施基于接纳承诺疗法的延续性护理干预。而国外近年来则重点研究接纳承诺疗法对癌症患者癌症复发恐惧、心理灵活性的干预,以及在青少年抑郁症患者非自杀性自伤行为的应用。结论接纳承诺疗法在国内护理领域的研究相对不足,仍需优化该疗法,并吸取国外研究热点与趋势,探索适合我国的接纳承诺疗法实践模式,推进其发展。展开更多
文摘<strong>Objective:</strong> To summarize 1 case of ACT (Acceptance and Commitment Therapy, as “ACT”) psychological nursing clinical experience. <strong>Method:</strong> ACT Application for psychological nursing, provides detailed program guidance for psychological care. <strong>Results:</strong> Sleep quality, psychological flexibility and self-management ability of the patient have been improved. <strong>Conclusion:</strong> It’s the first time to apply ACT to the psychological nursing for a stroke patient, which has achieved good results;it provides a detailed clinical experience as guidance for the development of psychological nursing;it also provides a clinical basis for the follow-up exploration of psychological nursing technology model.
文摘Chronic pain is a complex condition that is very detrimental to physical and psychological wellbeing. It carries a significant level of disability and economic burden. Pain patients frequently experience comorbid mental illness (e.g. depression, anxiety, PTSD, insomnia) and often require psychotherapeutic interventions in addition to medication management. Mindfulness-based interventions (MBIs) have emerged as a means to treat several chronic conditions (e.g. chronic pain, depression, anxiety, substance abuse, stress, insomnia). The objective of this review is to evaluate the current research on the use of MBIs in chronic pain managment. Although there are several controlled trials on the use of MBIs in chronic pain management, only a few studies were found that demonstrated significant effects on pain intensity, quality of life, as well as physical and psychological functioning. Therefore, the current evidence is mixed and there are insufficient data to definitively confirm the full impact of the use of MBIs in chronic pain conditions such as fibromyalgia, chronic low back pain, rheumatoid arthritis, and chronic musculoskeletal pain. The lack of compelling evidence at this time signals a demand for higher quality investigations in this area. Research examining MBIs and concomitant CBT may be of great value in order to synergize and strengthen patient outcomes.
文摘目的系统评价接纳与承诺疗法(acceptance and commitment therapy,ACT)对癌症患者心理健康和生活质量的影响。方法检索建库至2022年11月在CBM、万方、知网、维普、PubMed、Cochrane Library、Web of Science、EMbase数据库发表的有关ACT对癌症患者心理健康和生活质量影响的随机对照试验。由2名研究者根据纳入及排除标准独立筛选文献、质量评价并提取数据,采用RevMan 5.4进行meta分析。结果共纳入14篇文献,1063例癌症患者。Meta分析结果显示,ACT在改善癌症患者的焦虑[SMD=-1.04,95%CI(-1.19,-0.89),P<0.01]、抑郁情绪[SMD=-0.73,95%CI(-0.88,-0.59),P<0.01],提升心理灵活性[MD=-2.17,95%CI(-2.77,-1.57),P<0.01]及生活质量[MD=5.27,95%CI(3.57,6.98),P<0.01]方面差异具有统计学意义。结论ACT有助于缓解癌症患者的焦虑及抑郁情绪,提升心理灵活性及生活质量,对促进癌症患者的心理健康和生活质量具有积极作用。
文摘目的探讨接纳承诺疗法(acceptance and commitment therapy,ACT)对粒子治疗肺癌患者癌症复发恐惧(fear of cancer recurrence,FCR)的影响。方法采用便利抽样法,选取2023年2-6月我院肿瘤科四病房和六病房的肺癌患者74例,采用抛硬币法将六病房的37例患者作为对照组,四病房的37例患者作为干预组。对照组采用常规护理,干预组采用基于接纳承诺治疗模型框架为指导,结合相关著作和文献分析结果形成的粒子治疗肺癌患者的ACT干预方案。比较2组患者干预前、干预后、干预后3个月FCR水平、心理灵活性和心理痛苦程度。结果干预前,2组患者FCR水平、心理灵活性和心理痛苦程度比较,差异均无统计学意义(P>0.05)。干预后及干预后3个月,干预组FCR水平、心理灵活性和心理痛苦程度均优于对照组,除FCR中社会家庭维度无统计学意义(P>0.05),其余均有统计学意义(P<0.05)。除心理灵活性总分外,FCR总分及各维度得分、心理痛苦程度总分的交互效应均无统计学意义(P>0.05)。结论ACT能有效降低粒子治疗肺癌患者的FCR水平和心理痛苦程度,提高其心理灵活性,有利于患者的身心健康。
文摘目的应用CiteSpace软件对国内外接纳承诺疗法在护理领域应用的现状、热点和趋势进行可视化分析,为其进一步发展提供参考依据。方法检索中国知网、万方数据库、维普中文科技期刊数据库、中国生物医学文献数据库、Web of Science核心合集数据库自建库至2022年7月31日发表的所有文献,使用CiteSpace 6.2.R1软件进行分析。结果纳入国内文献266篇,国外文献623篇,国外文献发文量远高于国内,整体发文趋势呈先升后降;国内外作者联系相对分散;机构合作均集中于医院及综合性高校,跨学科、机构、地区合作少;根据关键词分析,发现国内主要注重精神心理障碍疾病的儿童、青少年、大学生、有焦虑和抑郁症状的医护人员等群体的团体心理干预,以及对恶性肿瘤患者实施基于接纳承诺疗法的延续性护理干预。而国外近年来则重点研究接纳承诺疗法对癌症患者癌症复发恐惧、心理灵活性的干预,以及在青少年抑郁症患者非自杀性自伤行为的应用。结论接纳承诺疗法在国内护理领域的研究相对不足,仍需优化该疗法,并吸取国外研究热点与趋势,探索适合我国的接纳承诺疗法实践模式,推进其发展。
