The application of a psychological nursing programme based on acceptance and commitment therapy in end-stage cancer patients
10.3761/j.issn.0254-1769.2024.15.006
- VernacularTitle:基于接纳承诺疗法的心理护理方案在终末期癌症患者中的应用研究
- Author:
Rong XUE
1
;
Xuejing WANG
;
Runping YANG
;
Qiaohong DU
;
Jing ZHANG
;
Haiyan HE
Author Information
1. 044000 山西省 运城市中心医院放射治疗科
- Keywords:
End Stage;
Tumor;
Acceptance and Commitment Therapy;
Psychological Resilience;
Quality of Life;
Psychological Nursing
- From:
Chinese Journal of Nursing
2024;59(15):1832-1839
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of a psychological nursing programme based on acceptance and commitment therapy on patients with end-stage cancer.Methods The convenience sampling method was adopted to select 120 patients with end-stage cancer who were hospitalized in the radiotherapy department of a tertiary A maternity and general hospital in Yuncheng from June 2021 to December 2022 as the research subjects.The Research Randomizer was used to divide them into an experimental group and a control group,with 60 cases in each group.The experimental group adopted the psychological nursing programme based on acceptance and commitment therapy,and the control group received the routine psychological nursing.The differences of psychological resilience,psychological pain,experiential avoidance level and quality of life before and after intervention were compared between the 2 groups.Results 57 cases in the experimental group and 58 cases in the control group completed the study.The scores of the 10-item Connor-Davidson Resilience Scale were(35.14±4.76)points in the experimental group and(33.17±2.97)points in the control group,and the difference between the 2 groups was statistically significant(t=2.664,P=0.009).After intervention,the scores of the Distress Thermometer in experimental group and control group were(4.14±1.88)points and(5.69±2.13)points,and the difference between the 2 groups was statistically significant(t=-4.138,P＜0.001).The scores of the Acceptance and Action Questionnaire-Ⅱwere(16.19±3.80)points in the experimental group and(23.93±2.46)points in the control group,and the difference between the 2 groups was statistically significant(t=-13.002,P＜0.001).The EORTC QLQ-C30 score in the experimental group was(117.00±8.50)points,and that in the control group was(101.45±11.88)points,and the difference between the 2 groups was statistically significant(t=8.066,P＜0.001).Conclusion The psychological nursing programme based on acceptance and commitment therapy can effectively reduce the level of psychological pain and experiential avoidance,improve psychological resilience and improve the quality of life of patients.
