首页|接纳承诺疗法对颅内血肿清除术患者身心健康的影响

接纳承诺疗法对颅内血肿清除术患者身心健康的影响

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目的 探讨接纳承诺疗法对颅脑外伤患者术后身心健康的影响。方法 选取68 例经颅内血肿清除术治疗的颅脑外伤患者,随机分为两组,每组 34 例。对照组采取常规护理干预,实验组在对照组基础上加用接纳承诺干预。采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评估患者焦虑抑郁程度,采用心理弹性量表(CD-RISC)评估心理弹性,采用简易应对方式量表(SCSQ)评价应对方式。采用简易精神状态检查量表(MMSE)评价认知功能。结果 干预后,实验组 HAMA、HAMD评分均低于对照组(P<0。05),CD-RISC各项评分均高于对照组(P<0。05),积极应对评分高于对照组(P<0。05),消极应对评分低于对照组(P<0。05),定向力、即刻记忆力、注意力和计算力、回忆能力、语言能力评分、总分均高于对照组(P<0。05)。结论 接纳承诺疗法用于颅内血肿清除术患者中,可改善患者的焦虑抑郁状态和认知功能,有助于促进患者术后的身心健康恢复。
Impact of acceptance commitment therapy on the physical and mental health of patients undergoing intracranial hematoma removal surgery
Objective To investigate the effect of acceptance-commitment therapy on the physical and mental health of patients with postoperative traumatic brain injury.Methods 68 patients with craniocerebral trauma treated with intracranial hematoma evacuation were enrolled.They were randomly divided into two groups,with 34 cases in each group.The control group were given usual care intervention and the experimental group were given an acceptance-commitment intervention on top of usual care.The Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)were used to evaluate the degree of anxiety and depression in patients,the Psychological Resilience Scale(CD-RISC)was used to evaluate the psychological resilience of patients,the Simple Coping Style Scale(SCSQ)was used to evaluate coping styles,and the Mini Mental State Examination Scale(MMSE)was used to evaluate cognitive function.Results The scores of HAMA and HAMD in the experimental group were lower than those in the control group(P<0.05),the scores of CD-RISC were higher than those in the control group(P<0.05),the positive coping score was higher than that in the control group(P<0.05),and the negative coping score was lower than that in the control group(P<0.05).The recall ability,language ability score and total score were higher than those in the control group(P<0.05).Conclusion Acceptance-commitment therapy improves anxiety-depression and cognitive function in patients undergoing intracranial hematoma resection,and is helpful to promote the recovery of physical and mental health after surgery.

acceptance-commitment therapyhead traumaintracranial hematoma removal

彭艳丽、张彩玲、李小静

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平顶山市第二人民医院急诊科,平顶山 467000

接纳承诺疗法 颅脑外伤 颅内血肿清除术

河南省医学科技攻关联合共建项目

LHGJ20201171

2024

华夏医学
桂林医学院

华夏医学

影响因子:0.569
ISSN:1008-2409
年,卷(期):2024.37(3)
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