接纳与承诺疗法在慢性阻塞性肺疾病患者中的应用  

Application of acceptance and commitment therapy in patients with chronic obstructive pulmonary disease

作　　者：方思 谭莉[1] 姚晶 朱艳 张力[1] 倪芳 FANG Si;TAN Li;YAO Jing;ZHU Yan;ZHANG Li;NI Fang(Department of Respiratory, Wuhan Cetral Hospital, Affiliated to Tongji Medical College, Huazhong Universityof Science & Technology, Wuhan 430014, China)

机构地区：[1]华中科技大学同济医学院附属武汉中心医院呼吸内科

出　　处：《现代医学》2019年第7期769-772,共4页Modern Medical Journal

基　　金：湖北省科技计划项目(2018CFC815)

摘　　要：目的:探讨接纳与承诺疗法(ACT疗法)在慢性阻塞性肺疾病(COPD)患者呼吸功能锻炼中的应用效果。方法:选取2018年1月至7月我院收治的120例COPD患者作为研究对象,按随机数字表法分为对照组和干预组,各60例。对照组进行常规护理,干预组在对照组护理基础上实施ACT干预。采用接纳与行动问卷第2版(AAQ-Ⅱ)测评两组患者干预前后的心理灵活性,参照依从性评价标准评估患者干预后的呼吸功能锻炼的依从性,对两组患者的心理灵活性和呼吸功能锻炼的依从性进行比较。结果:干预后干预组患者的心理灵活性得分低于对照组(P <0. 05),呼吸功能锻炼依从性高于对照组(P <0. 05)。结论:ACT护理干预能够提高COPD患者的心理灵活性和呼吸功能锻炼依从性,值得临床推广。Objective: To investigate the effect of acceptance and commitment therapy( ACT) on respiratory function exercise in patients with chronic obstructive pulmonary disease( COPD). Methods: One hundred and twenty patients with COPD admitted to our hospital from January to July 2018 were selected and divided into the control group and the intervention group by random number table,60 cases in each. The control group was given conventinal treatment,and the intervention group was treated with ACT on the basis of the control group. The psychological flexibility of the two groups before and after intervention was assessed by the Acceptance and Action Questionnaire-2 nd Edition( AAQ-Ⅱ). The compliance of respiratory function exercise of the two groups after intervention was assessed by compliance evaluation criteria. The psychological flexibility and the compliance of respiratory function exercise of the two groups before and after intervention were compared. Results: After intervention,the psychological flexibility scores of the intervention group were lower than those of the control group( P <0. 05),and the compliance of respiratory function exercise was higher than that of the control group( P <0. 05). Conclusion: ACT nursing intervention can improve the psychological flexibility and the compliance of respiratory function exercise in patients with COPD. It is worthy popularizing in clinic.

关 键 词：接纳与承诺疗法 慢性阻塞性肺疾病 呼吸功能锻炼 心理灵活性 依从性 

分 类 号：R248.1[医药卫生—中医临床基础]