首页|接纳承诺疗法对粒子治疗肺癌患者癌症复发恐惧的影响

接纳承诺疗法对粒子治疗肺癌患者癌症复发恐惧的影响

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目的 探讨接纳承诺疗法(acceptance and commitment therapy，ACT)对粒子治疗肺癌患者癌症复发恐惧(fear of cancer recurrence，FCR)的影响。方法 采用便利抽样法，选取2023年2-6月我院肿瘤科四病房和六病房的肺癌患者74例，采用抛硬币法将六病房的37例患者作为对照组，四病房的37例患者作为干预组。对照组采用常规护理，干预组采用基于接纳承诺治疗模型框架为指导，结合相关著作和文献分析结果形成的粒子治疗肺癌患者的ACT干预方案。比较2组患者干预前、干预后、干预后3个月FCR水平、心理灵活性和心理痛苦程度。结果干预前，2组患者FCR水平、心理灵活性和心理痛苦程度比较，差异均无统计学意义(P＞0。05)。干预后及干预后3个月，干预组FCR水平、心理灵活性和心理痛苦程度均优于对照组，除FCR中社会家庭维度无统计学意义(P＞0。05)，其余均有统计学意义(P＜0。05)。除心理灵活性总分外，FCR总分及各维度得分、心理痛苦程度总分的交互效应均无统计学意义(P＞0。05)。结论ACT能有效降低粒子治疗肺癌患者的FCR水平和心理痛苦程度，提高其心理灵活性，有利于患者的身心健康。
Effects of the acceptance and commitment therapy on the fear of cancer recurrence in particle-treated lung cancer patients
Objective To explore the effects of the acceptance and commitment therapy(ACT)on the fear of canc-er recurrence(FCR)in particle-treated lung cancer patients.Methods A total of 74 lung cancer patients from wards 4 and 6 of the oncology department at Shanghai Proton and Heavy Ion Hospital were selected between February and June 2023 by using convenience sampling,and were allocated using coin flipping,with 37 patients from ward 6 as-signed to the control group and 37 patients from ward 4 assigned to the intervention group.The control group re-ceived standard care,while the intervention group was administered the ACT intervention program specifically de-signed for lung cancer patients undergoing particle therapy based on the ACT model framework and developed through the results of relevant literature and publications analysis.The levels of FCR,psychological flexibility,and psychological distress between 2 groups were compared before and after the intervention,and 3 months post-inter-vention.Results There were no statistically significant differences(P＞0.05)between 2 groups in terms of FCR lev-els,psychological flexibility,and psychological distress before the intervention.After the intervention and 3 months after the intervention,the intervention group showed significantly better outcomes in FCR levels,psychological flex-ibility,and psychological distress compared to the control group,except for the social family dimension of FCR which did not show a statistically significant difference(P＞0.05),while all other differences were statistically sig-nificant(P＜0.05).Additionally,except for the total scores of psychological flexibility,the interaction effects for the total FCR scores and scores of its dimensions,and the total psychological distress scores were not statistically significant(P＞0.05).Conclusion ACT can effectively reduce FCR level and psychological distress of the particle-treated lung cancer patients,improve their psychological flexibility,and benefit their overall physical and mental health.

acceptance and commitment therapylung cancerfear of cancer recurrencepsychological flexibilityradiotherapynursing

秦菲、朱毓、张丽娟、周琼、王子迎、王姝曼、万宏伟

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上海市质子重离子医院护理部上海市放射肿瘤学重点实验室上海质子重离子放射治疗工程技术研究中心,上海 201315

接纳承诺疗法 肺癌 癌症复发恐惧 粒子治疗 放疗 护理

上海市浦东新区科技发展基金浦东新区卫生健康委卫生计生科研项目复旦大学复星护理科研基金上海现代护理职业教育集团特聘兼职教师项目

PKJ2020-Y57PW2022D-10FNF202104hlzjtpgr202326

2024

10.16821/j.cnki.hsjx.2024.16.018

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子：2.59
ISSN：1002-6975
年,卷(期)：2024.39(16)