团体接纳承诺疗法在炎症性肠病患者心理干预中的应用
Application of acceptance commitment group therapy in patients with inflammatory bowel disease
彭灵妃 1胡德英 2熊宇 1胡灵芝 1李苗苗1
作者信息
- 1. 华中科技大学同济医学院附属协和医院消化内科(湖北武汉,430022)
- 2. 华中科技大学同济医学院附属协和医院护理部(湖北武汉,430022)
- 折叠
摘要
目的 探讨团体接纳承诺疗法对炎症性肠病患者的心理干预效果.方法 将93例炎症性肠病患者按住院时间分为对照组46例、干预组47例.两组均行常规治疗与护理,在此基础上干预组制定和实施团体接纳承诺疗法,连续干预8周.评价两组干预前及干预后(干预8周时及干预后1个月)各项指标.结果 两组完成全程研究均为43例;干预后干预组疾病接受度、焦虑、自我管理能力及克罗恩病疾病活动度评分显著优于对照组(均P<0.05).结论 针对炎症性肠病患者制定和实施团体接纳承诺疗法,可有效改善患者负性心态,提高自护能力,促进疾病缓解.
Abstract
Objective To explore the effectiveness of acceptance commitment group therapy(ACT-G)for patients with inflammatory bowel disease(IBD).Methods Ninety-three patients with IBD were assigned to a control group of 46 and an intervention group of 47 chronologically.Both groups were subjected to conventional treatment and care,and the intervention group additionally received ACT-G for 8 consecutive weeks.Effect was measured before,immediately after,and one month after the intervention.Results For-ty-three cases in both groups completed the study.Acceptance of illness,anxiety,self-management ability,and Crohn's disease ac-tivity scores in the intervention group were significantly better than those in the control group after the intervention(all P<0.05).Conclusion ACT-G for patients with IBD can effectively alleviate their negative mindset,enhance self-care ability and promote di-sease mitigation.
关键词
炎症性肠病/接纳承诺疗法/团体干预/疾病接受度/自我管理/焦虑/负性情绪/心理护理Key words
inflammatory bowel disease/acceptance commitment therapy/group intervention/acceptance of illness/self-management/anxiety/negative emotions/psychological care引用本文复制引用
基金项目
华中科技大学同济医学院附属协和医院药技护专项(2021)(F016.02004.21003.073)
出版年
2024