首页|接纳承诺疗法对缺血性脑卒中颅内支架置入患者家属心理应激反应、应对方式及心理灵活性的影响

接纳承诺疗法对缺血性脑卒中颅内支架置入患者家属心理应激反应、应对方式及心理灵活性的影响

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目的 探讨接纳承诺疗法在缺血性脑卒中颅内支架置入患者家属中的应用对其心理应激反应、应对方式及心理灵活性的影响.方法 选取2019年12月至2020年12月就诊的行颅内动脉支架患者120例及家属120名,根据随机数表法将家属分为研究组和对照组,每组60例.对照组采用常规护理干预,观察组在对照组的基础上采用接纳承诺疗法干预,对比2组干预前后的接纳与行动量表(AAQ-Ⅱ)及压力反应量表(SRQ)、应对方式量表(MCMQ)各维度评分.结果 干预后,2组SRQ评分的情绪、躯体、行为及综合反应评分均低于干预前,且研究组SRQ评分的情绪、躯体、行为及综合反应评分均低于对照组(P<0.05);干预后,2组MCMQ评分的屈服、面对及回避评分均高于干预前,且研究组MCMQ评分的屈服、面对、及回避评分均高于对照组(P<0.05);干预后,2组AAQ-Ⅱ评分均低于干预前,且研究组AAQ-Ⅱ评分低于对照组(P<0.05).结论 接纳承诺疗法可有效改善缺血性脑卒中颅内支架置入患者家属心理灵活性,降低心理应激反应,提高积极应对方式.
Effects of acceptance and commitment therapy on psychological stress reaction,coping style and psychological flexibility in family members of patients with ischemic stroke underwent intracranial stenting
Objective To investigate the effects of acceptance and commitment therapy on psychological stress reaction,coping style and psychological flexibility in family members of patients with ischemic stroke(IS)underwent intracranial stenting.Methods A total of 120 family members of patients with IS underwent intracranial stenting in our hospital from December 2019 to December 2020 were enrolled,and the family members were randomly assigned into observation group(n=60)and control group(n=60).All family members were managed by routine nursing intervention,and those in observation group additionally received acceptance and commitment therapy intervention.The scores of the second version of the Acceptance and Action Questionnaire(AAQ-Ⅱ),Sensory Responsiveness Questionnaire(SRQ),Medical Coping Modes Questionnaire(MCMQ)before and after the intervention were compared between the two groups.Results significantly decreased SRQ(emotion,body,behavior and comprehensive reaction)scores,significantly increased MCMQ(yielding,facing and avoiding)scores,significantly decreased AAQ-Ⅱ scores were found in the two groups(all P<0.05),and the observation group was superior to the control group for SRQ,MCMQ and AAQ-Ⅱ scores(P<0.05).Conclusion For family members of patients with IS underwent intracranial stenting,acceptance and commitment therapy can effectively improve psychological flexibility,reduce psychological stress reaction,and improve positive coping style.

acceptance and commitment therapyischemic strokeintracranial stentingfamily memberspsychological stress reactioncoping stylepsychological flexibility

高建梅、张广玉、回凤菊、冯梅、董兰真、刘全亮

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061000 河北省沧州市人民医院神经内科

接纳承诺疗法 缺血性脑卒中 颅内支架置入 家属 心理应激反应 应对方式 心理灵活性

沧州市重点研发计划指导项目

183302139

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(13)
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