接纳与承诺疗法对乳腺癌术后患者心理弹性及疾病感知益处的影响

摘要

Objective To explore the effects of acceptance and commitment therapy on psychological resilience and perceived benefit of breast cancer patients.Methods From January to June in 2015,39 inpatients were enrolled as the control group,where routine nursing and functional exercise were carried out.From July 2015 to January 2016,41 inpatients were treated as the observation group,where acceptance and commitment therapy was implemented apart from the treatment for the control group.Before and after the intervention,the Conor-Davision resilience scale (CD-RISC) and the Chinese version of perceived benefits of diagnosis and treatment of breast cancer (PB-DTBC) were used for evaluation.Result After the intervention,the scores of psychological resilience and the perceived benefit of the observation group were significantly higher than those of the control group and before intervention (P＜0.01).Conclusion Acceptance and commitment therapy can effectively improve the psychological resilience and disease-perceived benefit of breast cancer patients.%目的 探讨接纳与承诺疗法对乳腺癌术后患者心理弹性及疾病感知益处的影响.方法 将2015年1月-6月在本院住院治疗的39例乳腺癌术后患者设为对照组,实施常规护理和功能锻炼;将2015年7月-2016年1月在本院住院治疗的41例乳腺癌术后患者设为观察组,在对照组基础上,实施接纳与承诺疗法.干预前后采用心理弹性量表(Connor-Davidson resilience scale,CD-RISC)及乳腺癌患者感知益处评估量表(perceived benefits of diagnosis and treatment of breastcancer,PB-DTBC)对患者进行测评.结果 干预后,观察组患者CD-RISC评分及PB-DTBC评分高于对照组和干预前,差异均有统计学意义(P＜0.01).结论 接纳与承诺疗法能有效提高乳腺癌术后患者的心理弹性及疾病感知益处水平.