中华现代护理杂志2024,Vol.30Issue(1) :21-27.DOI:10.3760/cma.j.cn115682-20230521-01997

肿瘤放疗患者参加接纳承诺疗法体验的质性研究

A qualitative study on experience of acceptance and commitment therapy in cancer patients undergoing radiotherapy

秦菲 朱毓 张丽娟 王子迎 万宏伟
中华现代护理杂志2024,Vol.30Issue(1) :21-27.DOI:10.3760/cma.j.cn115682-20230521-01997

肿瘤放疗患者参加接纳承诺疗法体验的质性研究

A qualitative study on experience of acceptance and commitment therapy in cancer patients undergoing radiotherapy

秦菲 1朱毓 1张丽娟 1王子迎 1万宏伟1
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作者信息

  • 1. 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
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摘要

目的 了解肿瘤放疗患者在参加接纳承诺疗法(ACT)后的心理体验,为肿瘤放疗患者的ACT心理干预方案的制订提供参考与补充.方法 本研究为质性研究.采用目的抽样法,选取2023年1-3月在上海市质子重离子医院治疗的17例肿瘤放疗患者为研究对象,采用现象学研究法对患者进行半结构式深度访谈,采用Colaizzi 7步分析法分析访谈资料.结果 提炼出3个主题,分别为积极的身心体验(包括改善躯体症状、缓解负性情绪、配合粒子治疗);获得个人成长(包括学习灵活多样的心理应对策略、收获互帮互助的友谊、感悟难能可贵的亲情、勾画未来美好的生活);优化ACT干预方案的建议(包括根据患者情况组建团队、增加活动频次、尝试在室外缓解体验练习、增加干预方案的延续性).结论 ACT能帮助肿瘤放疗患者改善身心健康、应对心理问题,使患者更积极地面对疾病、治疗和生活.

Abstract

Objective To understand the psychological experience of tumor radiotherapy patients after participating in acceptance and commitment therapy(ACT),and to provide reference and supplement for the development of ACT psychological intervention plans for tumor radiotherapy patients.Methods This study was a qualitative study.Using the purposive sampling method,a total of 17 tumor radiotherapy patients treated at Shanghai Proton and Heavy Ion Center from January to March 2023 were selected as the research objects.Phenomenological research method was used to conduct semi-structured in-depth interviews with patients,and the interview data were analyzed by Colaizzi 7-step analysis method.Results Three themes were extracted,namely,positive physical and mental experience(including improving physical symptoms,relieving negative emotions and cooperating with particle therapy),gaining personal growth(including learning flexible and varied psychological coping strategies,gaining mutual help and friendship,feeling valuable family affection and drawing a better future life)and recommendations for optimizing the ACT intervention program(including building teams according to the patients'conditions,increasing the frequency of activities,trying to experience relief exercises outdoors and increasing the continuity of the intervention program).Conclusions ACT can help cancer radiotherapy patients improve their physical and mental health,cope with psychological problems,so that patients can face the disease,treatment and life more positively.

关键词

肿瘤/放疗/接纳承诺疗法/心理体验/质性研究

Key words

Neoplasms/Radiotherapy/Acceptance and commitment therapy/Psychological experience/Qualitative study

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基金项目

上海市浦东新区科技发展基金(PKJ2020-Y57)

浦东新区卫生健康委员会卫生计生科研项目(PW2022D-10)

复旦大学-复星护理科研基金(FNF202104)

上海现代护理职业教育集团特聘兼职教师项目(hlzjtpgr202326)

出版年

2024
中华现代护理杂志
中华医学会

中华现代护理杂志

CSTPCD
影响因子:1.14
ISSN:1674-2907
参考文献量31
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