基于接纳与承诺疗法的延续性护理在乳腺癌术后化疗患者中的应用效果  

Application effects of continuous nursing based on acceptance and commitment therapy in postoperative chemotherapy patients with breast cancer

作　　者：徐玉美 顾月[2] 陈方园 何阳[1] XU Yumei;GU Yue;CHEN Fangyuan;HE Yang(The First Affiliated Hospital of Zhengzhou University,Department of Gynecological Radiotherapy,Zhengzhou 450000 Henan,China;The First Affiliated Hospital of Zhengzhou University,Department of Critical Care Medicine,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州大学第一附属医院,妇科放疗科,河南郑州450000 [2]郑州大学第一附属医院,重症医学部,河南郑州450000

出　　处：《中国民康医学》2024年第20期173-175,179,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察基于接纳与承诺疗法(ACT)的延续性护理在乳腺癌术后化疗患者中的应用效果。方法:选取2022年1—12月该院收治的120例乳腺癌患者进行前瞻性研究,采用随机数字表法将其分为对照组与研究组各60例。对照组给予常规护理,研究组在对照组基础上给予实施基于ACT的延续性护理。比较两组护理前后病耻感[社会影响量表(SIS)]、心理灵活性[接纳与行动问卷第二版(AAQ-Ⅱ)]、疾病恐惧[恐惧疾病进展简化量表(FoP-Q-SF)]、疾病感知益处[乳腺癌患者感知益处评估量表(PB-DT-BC)]、自护能力[自我护理能力测定表(ESCA)]和生命质量[乳腺癌患者生命质量测定量表(FACT-B)]评分。结果:护理后,两组SIS评分均低于护理前,且研究组低于对照组,两组AAQ-Ⅱ评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);两组FoP-Q-SF评分均低于护理前,且研究组低于对照组,两组PB-DT-BC评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);两组ESCA、FACT-B评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上应用基于ACT的延续性护理可提高乳腺癌术后化疗患者AAQ-Ⅱ、PB-DT-BC、ESCA和FACT-B评分,以及降低SIS、FoP-Q-SF评分的效果优于单纯常规护理。Objective:To observe application effects of continuous nursing based on acceptance and commitment therapy(ACT)in postoperative chemotherapy patients with breast cancer.Methods:A prospective study was conducted on 120 patients with breast cancer admitted to the hospital from January to December 2022.They were divided into control group and study group by using the random number table method,60 cases in each group.The control group was given routine nursing,while the study group was given continuous nursing based on ACT on the basis of that of the control group.The scores of stigma[social impact scale(SIS)],psychological flexibility[acceptance and action questionnaire-second wdition(AAQ-II)],fear of disease[fear of disease progression-short form(FoP-Q-SF)],perceived benefits of disease[perceived benefits of diagnosis and treatment of breast cancer(PB-DT-BC)],self-care ability[exercise of self-care agency scale(ESCA)]and quality of life[functional assessment of cancer therapy-breast(FACT-B)]were compared between the two groups before and after the nursing.Results:After the nursing,the SIS scores of the two groups were lower than those before the nursing,and that in the study group was lower than that in the control group;the AAQ-II scores of the two groups were higher than those before the nursing,and that in the study group was higher than that in the control group;and the differences were statistically significant(P<0.05).After the nursing,FoP-Q-SF scores of the two groups were lower than those before the nursing,and that in the study group was lower than that in the control group;the PB-DT-BC scores of the two groups were higher than those before the nursing,and that in the study group was higher than that in the control group;and the differences were statistically significant(P<0.05).Further,after the nursing,the scores of ESCA and FACT-B in the two groups were higher than those before the nursing,those in the study group were higher than those in the control group,and the differences were statistically signific

关 键 词：接纳与承诺疗法 延续性护理 病耻感 自护能力 生命质量 疾病感知 心理灵活性 

分 类 号：R473.73[医药卫生—护理学]