网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
接纳与承诺疗法在慢性阻塞性肺疾病患者中的应用
作者:方思  谭莉  姚晶  朱艳  张力  倪芳 
单位:华中科技大学同济医学院附属武汉中心医院 呼吸内科, 湖北 武汉 430014
关键词:接纳与承诺疗法 慢性阻塞性肺疾病 呼吸功能锻炼 心理灵活性 依从性 
分类号:R248.1
出版年·卷·期(页码):2019·47·第七期(769-772)
摘要:

目的:探讨接纳与承诺疗法(ACT疗法)在慢性阻塞性肺疾病(COPD)患者呼吸功能锻炼中的应用效果。方法:选取2018年1月至7月我院收治的120例COPD患者作为研究对象,按随机数字表法分为对照组和干预组,各60例。对照组进行常规护理,干预组在对照组护理基础上实施ACT干预。采用接纳与行动问卷第2版(AAQ-Ⅱ)测评两组患者干预前后的心理灵活性,参照依从性评价标准评估患者干预后的呼吸功能锻炼的依从性,对两组患者的心理灵活性和呼吸功能锻炼的依从性进行比较。结果:干预后干预组患者的心理灵活性得分低于对照组(P<0.05),呼吸功能锻炼依从性高于对照组(P<0.05)。结论:ACT护理干预能够提高COPD患者的心理灵活性和呼吸功能锻炼依从性,值得临床推广。

Objective:To investigate the effect of acceptance and commitment therapy (ACT) on respiratory function exercise in patients with chronic obstructive pulmonary disease (COPD). Methods:One hundred and twenty patients with COPD admitted to our hospital from January to July 2018 were selected and divided into the control group and the intervention group by random number table, 60 cases in each. The control group was given conventinal treatment, and the intervention group was treated with ACTon the basis of the control group. The psychological flexibility of the two groups before and after intervention was assessed by the Acceptance and Action Questionnaire-2nd Edition(AAQ-Ⅱ).The compliance of respiratory function exercise of the two groups after intervention was assessed by compliance evaluation criteria. The psychological flexibility and the compliance of respiratory function exercise of the two groups before and after intervention were compared. Results:After intervention, the psychological flexibility scores of the intervention group were lower than those of the control group (P<0.05), and the compliance of respiratory function exercise was higher than that of the control group (P<0.05). Conclusion:ACT nursing intervention can improve the psychological flexibility and the compliance of respiratory function exercise in patients with COPD.It is worthy popularizing in clinic.

参考文献:

[1] 宫建,杨传家,陈德才,等.沈阳地区慢性阻塞性肺疾病住院患者的初步分析[J].东南大学学报(医学版),2017,36(3):365-368.
[2] 丁芸,沈春萍,夏萍.视频结合回馈教学应用于慢性阻塞性肺疾病患者呼吸功能锻炼[J].护理学杂志,2017,32(15):82-84.
[3] 黄仕明,李江旭,王秋梅,等.健康信念模式教育对COPD患者疾病认知与呼吸功能锻炼依从性的影响[J].重庆医学,2013,42(10):1136-1138.
[4] 王红民,张小红.呼吸功能训练对稳定期COPD患者肺功能的影响[J].山东医药,2011,51(24):100-101.
[5] HAYES S C,WILSON K G.Acceptance and commitment therapy:altering the verbal support for experiential avoidance[J].Behav Anal,1994,17(2):289-303.
[6] HUGHES L S,CLARK J,COLCLOUGH J A,et al.Acceptance and commitment therapy (act) for chronic pain:a systematic review and meta-analyses[J].Clin J Pain,2017,33(6):552-568.
[7] BUHRMAN M,SKOGLUND A,HUSELL J,et al.Guided internet-delivered acceptance and commitment therapy for chronic pain patients:a randomized controlled trial[J].Behav Res Ther,2013,51(6):307-315.
[8] 中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2013年修订版)[J].中华结核和呼吸杂志,2013,36(4):255-264.
[9] 陈盈,胡茂荣,何厚建,等.接纳承诺疗法在青少年心理健康促进中的应用与展望[J].医学与哲学,2017,38(20):70-73.
[10] 曹静,吉阳,祝卓宏.接纳与行动问卷第2版中文版测评大学生的信效度[J].中国心理卫生杂志,2013,27(11):873-877.
[11] 胡欢欢,喻思红,张华君.慢性阻塞性肺疾病患者康复锻炼依从性影响因素及对策[J].现代临床护理,2015,14(4):68-72.
[12] 黄丽,王晓霞,张娟.回馈教学对食管癌开胸手术患者呼吸功能锻炼依从性的研究[J].中华护理杂志,2016,51(1):26-28.
[13] 高欣,毕清泉,洪静芳,等.接纳与承诺疗法在慢性病中的应用现状及展望[J].中国全科医学,2015,18(26):3253-3256.
[14] FLEDDERUS M,BOHLMEIJER E T,PIETERSE M E.Does experiential avoidance mediate the effects of maladaptive coping styles on psychopathology and mental health?[J].Behav Modif,2010,34(6):503-519.
[15] KEMANI M K,HESSER H,OLSSON G L,et al.Processes of change in acceptance and commitment therapy and applied relaxation for long-standing pain[J].Eur J Pain,2016,20(4):521-531.
[16] 姚小燕,刘瑞红,张红梅,等.COPD患者自我感受负担与抑郁状况调查及相关性分析[J].国际精神病学杂志,2016,43(4):668-671.
[17] 陈龑,胡秀英.老年慢性阻塞性肺疾病患者自我感受负担及其影响因素研究[J].中华护理杂志,2014,49(11):1307-1313.
[18] 谭春苗,周向东,陈海燕,等.呼吸指导小组对慢性阻塞性肺疾病患者呼吸康复锻炼依从性的影响[J].广东医学,2016,37(20):3146-3148.
[19] 唐朝,席明霞,卿利敏,等.动机性访谈促进慢性阻塞性肺疾病患者呼吸锻炼的效果分析[J].护理学报,2015,22(7):64-67.
[20] ALONSO-FERNANDEZ M,LOPEZ-LOPEZ A,LOSADA A,et al.Acceptance and commitment therapy and selective optimization with compensation for institutionalized older people with chronic pain[J].Pain Med,2016,17(2):264-277.
[21] 应少聪,周向东,周丽华,等.运动训练联合心理激励对慢性阻塞性肺疾病患者生活质量的影响[J].南方医科大学学报,2013,33(9):1312-1315.

服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 289165 位访问者


 ©《现代医学》编辑部
联系电话:025-83272481;83272479
电子邮件: xdyx@pub.seu.edu.cn

苏ICP备09058541