Post-intervention experiences in elderly stroke patients with group-based acceptance and commitment therapy:a qualitative study
10.3969/j.issn.1671-8283.2025.07.003
- VernacularTitle:老年脑卒中患者团体接纳承诺疗法干预后体验的质性研究
- Author:
Qiao ZHOU
1
;
Junqi WU
;
Cui'e ZHANG
;
Xiaofang WANG
;
Jun YOU
;
Shuai SHEN
Author Information
1. 长沙市第三医院 湖南大学附属长沙医院,心血管内科,湖南 长沙,410015
- Publication Type:Journal Article
- Keywords:
the elderly;
stroke;
team acceptance and commitment therapy;
descriptive phenomenological research
- From:
Modern Clinical Nursing
2025;24(7):20-26
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the post-intervention experiences in elderly stroke patients who received the group-based acceptance and commitment therapy(ACT)and to provide a reference to improve the group-based ACT intervention strategies for the patients.Methods With the descriptive phenomenological research,the semi-structured in-depth interviews were conducted with 15 elderly stroke patients who had received the group-based ACT intervention for 6 months in a Tier-IIIA hospital in Hunan Province between May and July 2023.The data acquired from the interviews were analysed using the Colaizzi method.Results The experiences in elderly stroke patients with the group-based ACT intervention were categorised into three main themes and ten sub-themes:(1)The impact of intervention on the psychology and spirit(change cognition and accept oneself;enhance awareness and reflect on oneself;clarify values and adapt to oneself;disengage from suffering and achieve dissociation;understand suffering and discover a sense of meaning in life);(2)Behavioural changes brought by the intervention(change approaches to improve health;engage in rehabilitation exercises and build confidence;enhance social interactions and integrate into life);(3)Suggestions for the intervention program(tailor to the physiological characteristics of the elderly;adapt to the psychological characteristics of the elderly).Conclusion The group-based ACT intervention has a beneficial effect on the psychological,spiritual and behavioural changes in the elderly stroke patients.The intervention programs should be improved according to the physical and mental characteristics therefore to improve the mental health of elderly stroke patients.
