以ACT为核心的心理灵活性干预对喉癌术后患者癌性疼痛控制、心理社会适应能力及心理灵活性的影响  

Effects of ACT-centered psychological flexibility intervention on cancer pain control,psychosocial adaptability and psychological flexibility in patients with laryngeal cancer after surgery

作　　者：彭晶[1] 张超[1] 曹萌 Peng Jing;Zhang Chao;Cao Meng(Department of Otolaryngology,The First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,Henan,China)

机构地区：[1]河南科技大学第一附属医院耳鼻喉科,河南洛阳471000

出　　处：《四川生理科学杂志》2022年第11期1889-1891,1901,共4页Sichuan Journal of Physiological Sciences

基　　金：河南省医学科技攻关项目(201504020)。

摘　　要：目的:探究喉癌术后患者应用以接纳与承诺疗法(Acceptance and commitment therapy,ACT)为核心的心理灵活性干预对患者心理灵活性、癌性疼痛控制及心理社会适应能力的影响。方法:选取2019年2月至2022年2月期间我科收治的80例喉癌术后患者作为研究对象,采用随机数字表法分为对照组和观察组,各40例。对照组采用终末期癌症疼痛护理干预,观察组在对照组的基础上联合以ACT为核心的心理灵活性护理干预。对比两组患者疼痛控制效果,心理社会适应能力,心理灵活性。结果:干预后,观察组患者中文版接纳与行动问卷(Acceptance and action questionnaire-Ⅱ,AAQ-Ⅱ)评分及心理痛苦温度计(Distress thermometer,DT)评分均低于对照组(P<0.05);归属感、焦虑/抑郁、态度、自我效能/自我控制、自尊及自我接纳评分均高于对照组(P<0.05);疼痛数字评分表(Numerical rating scale,NRS)评分及癌性疼痛控制障碍问卷(Barriers questionnaire,BQ)评分均低于对照组(P<0.05)。结论:采用ACT为核心的心理灵活性干预对喉癌根治术后患者进行干预,可明显提升患者心理社会适应性水平及心理灵活性,提高疼痛控制效果。Objective:To explore the effect of psychological flexibility intervention with Acceptance and commitment therapy(ACT)as the core on the psychological flexibility,cancer pain control and psychosocial adaptability of patients after laryngeal cancer surgery.Methods:From February 2019 to February 2022,80 postoperative patients with laryngeal cancer treated in our department were selected as the research objects,and divided into the control group and the observation group by random number table method,with 40 cases in each group.The control group was given end-stage cancer pain nursing intervention,while the observation group was given psychological flexibility nursing intervention with ACT as the core on the basis of the control group.The pain control effect,psychosocial adaptability,and psychological flexibility were compared between the two groups.Results:After the intervention,the scores of the Chinese version of the Acceptance and Action Questionnaire-Ⅱ(AAQ-Ⅱ)and the Distress Thermometer(DT)scores of the observation group were lower than those of the control group(P<0.05).The scores of feeling,anxiety/depression,attitude,self-efficacy/self-control,self-esteem and self-acceptance were higher than those of the control group(P<0.05);Numerical rating scale(NRS)score and Cancer Pain Control Disorder Questionnaire(P<0.05)The Barriers questionnaire(BQ)scores were lower than those of the control group(P<0.05).Conclusion:ACT for ACT-centered psychological flexibility intervention for patients after radical laryngectomy can significantly improve the level of psychosocial adaptation and psychological flexibility of patients,and improve the effect of pain control.

关 键 词：心理灵活性 喉癌 癌性疼痛 心理社会适应能力 

分 类 号：R473.73[医药卫生—护理学]