中晚期胃癌化疗患者ADOPT问题解决模型联合接纳承诺疗法的实施  

Implementation of ADOPT problem-solving model combined with acceptance and commitment therapy for patients with intermediate and advanced gastric cancer receiving chemotherapy

作　　者：房启蒙 朱梅[1] 李锦[1] 赵世洁 蒋冬 FANG Qimeng;ZHU Mei;LI Jin;ZHAO Shijie;JIANG Dong(Xuzhou Cancer Hospital,Xuzhou,221000,China)

机构地区：[1]江苏省徐州市肿瘤医院肿瘤内科,221000

出　　处：《护理实践与研究》2023年第24期3755-3760,共6页Nursing Practice and Research

基　　金：徐州市卫生健康委科技项目(编号:XWKYHT20200042)。

摘　　要：目的 观察态度—定义—开放思维—计划—试验问题解决模型(ADOPT)联合接纳承诺疗法对中晚期胃癌化疗患者的影响效果。方法 选择2019年7月—2022年6月医院救治的中晚期胃癌化疗患者80例为观察对象。按照组间基本特征具有可比性的原则分为观察组与对照组,每组40例,对照组患者遵胃癌化疗常规护理法施护,观察组患者于此基础之上加用ADOPT问题解决模型联合接纳承诺疗法干预,对两组干预后的各观察指标进行比较。结果 护理干预后,观察组中晚期胃癌化疗患者自我效能评分高于对照组,医学应对评分优于对照组,不良反应发生率、恐惧疾病进展的社会家庭、生理健康评分低于对照组,生活质量的心理领域、社会领域、生理领域、环境领域评分高于对照组,组间比较差异有统计学意义(P<0.05)。结论 采用ADOPT问题解决模型联合接纳承诺疗法对中晚期胃癌化疗患者施加干预,利于其自我效能、生活质量的改善,可优化其医学应对倾向,减低其疾病进展恐惧与不良反应概率。Objective To observe the effect of attitude-definition-open thinking-planning-test problem-solving model(ADOPT) combined with acceptance and commitment therapy on chemotherapy patients with intermediate and advanced gastric cancer.Methods A total of 80 patients with intermediate and advanced gastric cancer treated with chemotherapy in the hospital from July 2019 to June 2022 were selected as the observation subjects.According to the principle of comparability of basic characteristics between groups,they were divided into observation group and control group,with 40 cases in each group.The patients in the control group followed the routine nursing care of gastric cancer chemotherapy,and the patients in the observation group were treated with the ADOPT problem-solving model combined with commitment therapy intervention.The observation indicators after the intervention were compared between the two groups.Results After nursing intervention,the self-efficacy score of chemotherapy patients with mid-to-late stage gastric cancer in the observation group was higher than that of the control group,the medical coping score was better than that of the control group,the social and family score and the physical health score offear disease progression were lower than those of the control group,and the psychological,social,physiological and environmental domains scores of living quality were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Using the ADOPT problem-solving model combined with acceptance and commitment therapy to intervene in chemotherapy patients with mid-to-late stage gastric cancer can help improve their self-efficacy and quality of life,optimize their medical coping tendencies,and reduce their fear of disease progression and the probability of adverse reactions.

关 键 词：ADOPT问题解决模型 接纳承诺疗法 胃癌 化疗 自我效能 

分 类 号：R47[医药卫生—护理学]