Application effect of acceptance and commitment therapy in patients with brain glioma after surgery
Objective To investigate the application effect of acceptance and commitment therapy(ACT)in patients with brain glioma after surgery.Method A total of 96 brain glioma patients after surgery were divided into study group(n=48)and control group(n=48)according to different treatment methods after surgery.The control group received con-ventional surgical treatment after surgery,the study group received ACT treatment on the basis of the control group.The negative emotion[symptom checklist-90(SCL-90)],quality of life[Nottingham health profile(NHP)],pain condition[vi-sual analogue scale(VAS)],self-care ability(Barthel index),mental ability[acceptance and action questionnaire-2nd edi-tion(AAQ-Ⅱ),posttraumatic growth inventory(PTGI)]and satisfaction were compared between the two groups.Result After treatment,the dimensional scores of SCL-90,NHP scales and the scores of AAQ-Ⅱ scale in two groups were lower than those before treatment,the scores of PTGI scale were higher than those before treatment,the scores of interpersonal sensitivity,somatization,obsessive-compulsive symptoms,depression,hostility,anxiety,paranoia,phobia and psychosis in study group were lower than those in control group,the dimensional scores of NHP scale and the score of AAQ-Ⅱ scale in study group were lower than those in control group,the score of PTGI scale was higher than that in control group,and the differences were statistically significant(P<0.05).After surgery and treatment,the scores of VAS scale in two groups were lower than those before surgery,the scores of VAS scale in study group were lower than those in control group,and the differences were statistically significant(P<0.05).After treatment,the scores of VAS scale in two groups were lower than those after surgery,the score of VAS scale in study group was lower than that in control group,and the differences were statistically significant(P<0.05).After treatment and three months after discharge,the scores of Barthel index in two groups were higher than those before treatment,the scores of Barthel index in study group were higher than those in control group,and the differences were statistically significant(P<0.05).Three months after discharge,the scores of Barthel index in two groups were higher than those after treatment,the score of Barthel index in study group was high-er than that in control group,and the differences were statistically significant(P<0.05).The total satisfaction rate in study group was higher than that in control group,and the difference was statistically significant(P<0.05).Conclusion The ap-plication of ACT in patients with brain glioma after surgery can effectively relieve patients'negative emotions and pain,improve patients'quality of life,self-care ability,psychological flexibility and post-traumatic growth level,and increase their satisfaction.
brain gliomaacceptance and commitment therapysurgeryeffect
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