【摘要】 目的探讨喉癌根治术患者术后采用接纳与承诺法(ACT)进行临床护理的效果。方法随机选取2018年1月至2019年1月在我院行喉癌手术治疗的200例患者作为研究对象,应用数字表法随机等分为研究组与对照组,对照组采用常规护理及发声康复训练,研究组在对照组基础上实施ACT干预,采用接纳与行动问卷(AAQ-Ⅱ)和健康调查简表(SF-36)分别评价干预后,两组患者的心理灵活性和生活质量。结果干预后研究组患者AAQ-Ⅱ评分低于对照组(P <0. 05);研究组患者生活质量评分高于对照组(P <0. 05)。结论喉癌根治术后采用ACT干预可提高患者心理灵活性及生活质量,是一种有效的心理行为干预方法。更多还原

【Abstract】 Objective To explore the effect of acceptance and commitment therapy( ACT) for clinical nursing in patients after radical operation for laryngeal carcinoma. Methods We randomly selected 200 cases of patients who underwent laryngeal cancer surgery in our hospital from January 2018 to January 2019 as the study objects. They were randomly divided into a study group and a control group by using digital table method. The control group used routine nursing and vocal rehabilitation training,and the study group implemented ACT intervention on the basis of the control group,and the acceptance and action questionnaire( AAQ-Ⅱ) and the MOS item short from health survey( SF-36) were used to evaluate the psychological flexibility and quality of life of the patients in the two groups after intervention. Results After the intervention,the AAQ-Ⅱ score in the study group was lower than that in the control group( P < 0. 05); the quality of life score in the study group was higher than that in the control group( P < 0. 05). Conclusion The ACT intervention after radical operation for laryngeal cancer could improve the patient’s psychological flexibility and quality of life,and was an effective intervention method for psychological behavior.更多还原