焦点式心理干预联合接纳承诺理念干预对胃癌切除术患者睡眠的影响  

The Impact of Focused Psychological Intervention Combined with Acceptance and Commitment Therapy on Sleep in Patients Undergoing Gastric Cancer Resection

作　　者：杨然 卓海燕 YANG Ran;ZHUO Haiyan(First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院,厦门361000

出　　处：《世界睡眠医学杂志》2025年第1期204-206,210,共4页World Journal of Sleep Medicine

摘　　要：目的:分析焦点式心理干预联合接纳承诺理念干预在胃癌切除术患者护理中的应用效果。方法:选取2022年2月至2024年3月于厦门大学附属第一医院结直肠肿瘤外科收治的胃癌切除术患者76例作为研究对象,按照随机数字表法分为对照组和观察组,每组38例。对照组给予常规护理干预,观察组在对照组基础上实施焦点式心理干预联合接纳承诺理念干预。采用简易应对方式问卷(SCSQ)评价2组干预前后的应对情况,包含积极和消极2个维度,采用多导睡眠图测定患者护理后的睡眠潜伏期、总睡眠时间、觉醒次数,采用失眠严重程度指数(ISI)评价2组患者失眠程度。结果:干预后,观察组的SCSQ评分量表中积极应对策略评分显著高于对照组,消极应对策略评分显著低于对照组,差异均有统计学意义(均P<0.05);干预后,观察组失眠发生率显著低于对照组,观察组睡眠潜伏期、觉醒次数显著短于对照组,总睡眠时间显著长于对照组,差异均有统计学意义(均P<0.05)。结论:焦点式心理干预联合接纳承诺理念干预可改善患者应对方式,能够促进睡眠质量的提高,减少失眠发生。Objective:To analyze the application effect of focused psychological intervention combined with acceptance commitment concept intervention in the nursing of patients undergoing gastric cancer resection.Methods:A total of 76 patients who underwent gastric cancer resection and were admitted to the Department of Colorectal Cancer,First Affiliated Hospital of Xiamen University from February 2022 to March 2024 were selected as the study subjects.They were divided into a control group and an observation group using a random number table method,with 38 patients in each group.The control group received routine nursing intervention,while the observation group received focused psychological intervention combined with acceptance commitment concept intervention in addition to the control group.The Simplified Coping Style Questionnaire(SCSQ)was used to evaluate the coping situation of two groups before and after intervention,including positive and negative dimensions.The polysomnography was used to measure the sleep latency,total sleep time,and number of awakenings of patients after nursing.The Insomnia Severity Index(ISI)was used to evaluate the degree of insomnia in both groups of patients.Results:After intervention,the positive coping strategy score in the observation group was significantly higher than that in the control group on the SCSQ score scale,while the negative coping strategy score in the observation group was significantly lower than that in the control group.The differences between the two groups were statistically significant(P<0.05);After intervention,the incidence of insomnia in the observation group was significantly lower than that in the control group.The sleep latency and number of awakenings in the observation group were significantly shorter than those in the control group,and the total sleep time in the observation group was significantly longer than that in the control group.The differences between the two groups were statistically significant(P<0.05).Conclusion:Focused psychological intervention co

关 键 词：胃癌 手术 焦点式心理护理 接纳承诺理念护理 应对方式 睡眠质量 

分 类 号：R735.2[医药卫生—肿瘤] R338.63[医药卫生—临床医学]