接纳与承诺疗法联合渐进式抗阻训练在乳腺癌改良根治术患者术后护理中的应用  

Application of acceptance and commitment therapy combined with progressive resistance training in postoperative nursing of patients undergoing modified radical mastectomy for breast cancer

作　　者：赵金平 ZHAO Jinping(Department of Breast Diseases,Taian Central Hospital(Taian Central Hospital Affiliated to Qingdao University,Taishan Medical Care Center),Shandong Province,Taian 271000,China)

机构地区：[1]泰安市中心医院(青岛大学附属泰安市中心医院、泰山医养中心)乳腺疾病科,山东泰安271000

出　　处：《妇儿健康导刊》2025年第4期151-155,共5页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的探讨接纳与承诺疗法联合渐进式抗阻训练在乳腺癌改良根治术患者术后护理中的应用效果。方法选择2021年6月至2023年5月于泰安市中心医院行乳腺癌改良根治术的患者94例,按随机数字表法分为两组,各47例。对照组实施常规护理,观察组在对照组基础上实施接纳与承诺疗法联合渐进式抗阻训练,两组均持续随访3个月,对比两组心理弹性、上肢淋巴水肿情况及生活质量。结果观察组护理后心理弹性评分高于对照组(P<0.05);观察组护理后上肢淋巴水肿指标低于对照组(P<0.05);观察组护理后生活质量评分高于对照组(P<0.05)。结论接纳与承诺疗法联合渐进式抗阻训练在乳腺癌改良根治术患者术后护理中具有较好的应用效果,利于增强其心理弹性,改善上肢淋巴水肿情况,提升生活质量。Objective To explore the application effect of acceptance and commitment therapy combined with progressive resistance training in postoperative nursing of patients undergoing modified radical mastectomy for breast cancer.Methods From June 2021 to May 2023,94 patients who underwent modified radical mastectomy for breast cancer in Taian Central Hospital were selected and divided into two groups according to random number table method,47 cases in each group.The control group received routine care,while the observation group received acceptance and commitment therapy combined with progressive resistance training on the basis of control group.Both groups were followed up for 3 months.The psychological resilience,upper limb lymphedema,and quality of life were compared between two groups.Results The psychological resilience score of the observation group after nursing was higher than that of the control group(P<0.05).The upper limb lymphedema index of the observation group after nursing was lower than that of the control group(P<0.05).The quality of life score of the observation group after nursing was higher than that of the control group(P<0.05).Conclusion Acceptance and commitment therapy combined with progressive resistance training has a good application effect in the postoperative nursing of patients with undergoing modified radical mastectomy for breast cancer,which is conducive to enhancing their psychological resilience,improving the situation of upper limb lymphedema,and improving the quality of life.

关 键 词：乳腺癌改良根治术 接纳与承诺疗法 渐进式抗阻训练 心理弹性 生活质量 

分 类 号：R473.73[医药卫生—护理学]