接纳与承诺疗法在脑胶质瘤术后患者中的护理效果

doi:10.20047/j.issn1673-7210.2022.35.41

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Abstract Objective To observe the intervention effect of acceptance and commitment therapy in postoperative patients with glioma. Methods A total of 100 patients with glioma who received craniotomy in the Nanjing First Hospital, Jiangsu Province from January 2017 to January 2021 were selected, and they were divided into observation group and control group, with 50 cases in each group by random number table method. The control group received routine surgical intervention after operation, and the observation group received acceptance and commitment therapy intervention, both groups intervened until patients were discharged. The negative emotions (self-rating anxiety scale [SAS], self-rating depression scale [SDS]), psychological flexibility acceptance, and action questionnaire ([AAQ-Ⅱ] and post-traumatic growth level post-traumatic growth questionnaire [PTGI]) of patients in both groups before intervention and at discharge were assessed, and compared the evaluation results between the two groups. Results The SAS and SDS scores of both groups at discharge were decreased than those before intervention, and the scores of the observation group were significantly lower than those of the control group, the differences were statistically significant (P＜0.05). The AAQ-Ⅱ score of the two groups was lower than before intervention, and the PTGI score was higher than before intervention, and the observation group was lower than the control group, and the PTGI score was higher, the differences were statistically significant (P＜0.05). Conclusion Acceptance and commitment therapy for intervention in patients after glioma surgery can significantly reduce negative emotion, improve psychological flexibility and is beneficial to improve the level of post-traumatic growth.

Key words： Glioma Craniotomy for gliomas Acceptance and commitment therapy Psychological flexibility Post- traumatic growth level

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	WANG Li ZHANG Lingxia▲

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WANG Li ZHANG Lingxia▲. Nursing effect of acceptance and commitment therapy in postoperative patients with glioma[J]. 中国医药导报, 2022, 19(35): 181-184.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2022.35.41 OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I35/181

[1] 张继东，史锡文.手术切除联合瘤床间质内缓释化疗治疗复发性恶性脑胶质瘤的疗效观察[J].实用癌症杂志，2019，34（4）：579-582.
[2] 乔丽娜，许健，程玉婷，等.心理干预对脑胶质瘤围术期患者心理状态，应激反应及术后生活质量的影响[J].国际精神病学杂志，2021，48（5）：938-941，949.
[3] 崔婧.综合护理联合延续性护理对胶质瘤病人生存质量的影响[J].中国临床神经外科杂志，2020，25（2）：118-120.
[4] Hayes SC，Levin ME，Plumb-Vilardaga J，et al. Acceptance and Commitment Therapy and Contextual Behavioral Science：Examining the Progress of a Distinctive Model of Behavioral and Cognitive Therapy [J]. Behav Ther，2013，44（2）：180-198.
[5] 戴春花，王雪，黄秋华，等.接纳与承诺疗法对脑卒中患者的心理灵活性和创伤后成长的影响研究[J].护士进修杂志，2020，35（7）：592-595.
[6] 蒋维连，吕文静，黄颖健，等.接纳与承诺疗法干预对乳腺癌术后患者创伤后成长的影响[J].中国实用护理杂志，2020，36（2）：109-114.
[7] 《中国中枢神经系统胶质瘤诊断和治疗指南》编写组.中国中枢神经系统胶质瘤诊断与治疗指南（2015）[J].中华医学杂志，2016，96（7）：485-509.
[8] 段泉泉，胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志，2012，26（9）：676-679.
[9] 曹静，吉阳，祝卓宏.接纳与行动问卷第二版中文版测评大学生的信效度[J].中国心理卫生杂志，2013，27（11）：873-877.
[10] 汪际，陈瑶，王艳波，等.创伤后成长评定量表的修订及信效度分析[J].护理学杂志，2011，26（14）：26-28.
[11] 王燕，陈桂花，汪永新.认知行为干预对胶质瘤患者负面情绪及主观幸福感的影响研究[J].实用心脑肺血管病杂志，2018，26（8）：114-117.
[12] 陶治鹤，毛进鹏，胡伟.老年恶性胶质瘤患者开颅肿瘤切除与定向活检后放疗的临床效果比较[J].医学临床研究，2018，35（12）：2398-2400.
[13] 胡齐，周杰，陈义天，等.脑胶质瘤患者手术前后近期心境障碍的临床研究[J].中华神经外科杂志，2018，34（6）：623-626.
[14] 林琼，赖雯娟，林御贤，等.接纳与承诺疗法在永久性结肠造口患者中的应用及疗效观察[J].护士进修杂志，2019， 34（16）：1509-1511.
[15] 段彬，何湘军，陈欢，等.接纳与承诺疗法在经皮射频消融术患者中的应用[J].护理学杂志，2018，33（16）：77-80.
[16] 许湘华，欧美军，谢婵娟，等.接纳与承诺疗法在喉癌术后患者中的应用效果[J].解放军护理杂志，2019，36（5）：6-10.
[17] 吴雪，闵贝贝.接纳与承诺疗法在胃癌根治术后化疗患者中的应用效果[J].中华现代护理杂志，2018，24（29）：3570-3573.
[18] 董林，谢鑑辉，易银芝，等.接纳与承诺疗法干预发育性髋关节脱位患儿父母创伤后应激综合征临床分析[J].中国医药导报，2020，17（28）：177-181..
[19] 张颖博，刘宝.高校大学生心理健康与心理灵活性的相关性研究[J].中国卫生统计，2019，36（2）：252-254.
[20] 李楠，李启莲，蒋维连.接纳与承诺疗法对膀胱癌术后灌注化疗出院患者恐惧疾病进展的影响[J].现代临床护理，2019，18（10）：40-45.
[21] 魏慧，薛晓红，刘梅红.接纳与承诺疗法对直肠癌患者疼痛及负性情绪的影响[J].癌症进展，2020，18（23）：2472-2475.
[22] 吕蕊，刘思含，蒙娜，等.基于接纳与承诺疗法的护理干预在炎症性肠病患者中的应用[J].中华现代护理杂志，2020，26（36）：5086-5090.
[23] Jayawickreme E，Infurna FJ，Alajak K，et al. Post-Traumatic Growth as Positive Personality Change：Challenges，Opportunities and Recommendations [J]. J Pers，2020，89（1）：145-165.
[24] 马坤炎，蒋维连，梁伟霞，等.接纳与承诺疗法对尿流改道腹壁造口术患者创伤后成长的影响[J].护理学杂志，2019，34（9）：73-75，86.
[25] 蒋家美，张秀蓉.接纳与承诺疗法对抑郁症患者负性情绪及应对方式的影响[J].医学临床研究，2019，36（7）：1314-1316.