Construction and Preliminary Application of A Virtual Reality Intervention Program for Cancer Patients with Death Anxiety Based on Acceptance and Commitment Therapy
Objective To develop an intervention program using virtual reality(VR)technology based on acceptance and commitment therapy(ACT)for death anxiety(DA)in cancer patients and explore its preliminary application,to provide reference for improvement.Methods Through literature review,relevant guidelines and expert consensus,the first draft of the intervention program was formed by VR technology,based on the ACT and the preliminary survey results of the research team,and the final version was formed through two rounds of Delphi expert consultation.In November 2023,12 outpatients or inpatients with newly diagnosed cancer in a tertiary A cancer hospital in Hunan Province were selected by the random number table method.They were divided into the control group and the intervention group by the envelope method,each with 6 cases.On the basis of routine psychological care,the intervention group carried out one-on-one ACT-based VR intervention for cancer patients'DA offline,once a week for 8 weeks,35-45 min/time.The control group patients received routine psychological care once a week in their ward during hospitalization,or once a week by telephone if discharged,for 8 weeks,35-45 minutes per time.Before and after the intervention,Templer Death Anxiety Scale(Chinese version),Acceptance and Action Questionnai re(second version)and Meaning in Life Scale(Chinese version)were used for evaluation.Results The final intervention plan consisted of 8 projects and 39 interventions.After 8 weeks of intervention,the scores of DA and experiential avoidance in observation group were lower than those in control group,while the scores of sense of meaning of life in observation group were higher than those in control group,with statistical significance(all P＜0.05).Conclusions VR intervention program for cancer patients with DA based on ACT is scientific and reliable,and can improve the DA of cancer patients.
cancer patientdeath anxietyacceptance and commitment therapyvirtual reality technologyprogram construction
万方数据
维普
