保健医学研究与实践2025，Vol.22Issue(1)：111-117,7.DOI:10.11986/j.issn.1673-873X.2025.01.17
接纳与承诺疗法对外周造血干细胞移植患者心理弹性及创伤后成长的影响
Effects of acceptance and commitment therapy on psychological resilience and post-traumatic growth in patients undergoing peripheral blood stem cell transplantation
摘要
Abstract
Objective To explore the application effects of acceptance and commitment therapy(ACT)in patients undergoing peripheral blood stem cell transplantation(PBSCT),aiming to provide a reference for enhancing psychological resilience and promoting post-traumatic growth in these patients.Methods Eighty patients who underwent PBSCT at West China Hospi-tal,Sichuan University from July 2021 to June 2023 were selected and randomly allocated to an observation group and a con-trol group,with 40 patients in each group.The control group received routine nursing interventions,while the observation group received ACT interventions in addition to routine nursing.Indicators such as negative emotional states,psychological resilience,coping styles,and post-traumatic growth levels were compared between the two groups before and after the inter-vention.Results Before the intervention,no significant differences between the two groups were noted in the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)scores(P>0.05).After the intervention,both groups showed significantly decreased SAS and SDS scores compared to pre-intervention,with the observation group having signifi-cantly lower scores than the control group(P<0.05).Regarding psychological resilience,no significant differences between the two groups before the intervention were observed in the three subscales of the Connor-Davidson Resilience Scale(CD-RISC):tenacity,strength,and optimism(P>0.05).After the intervention,all three subscales of CD-RISC scores in-creased significantly in both groups compared to pre-intervention,with the observation group showing significantly higher scores than the control group(P<0.05).In terms of coping styles,before the intervention,there were no significant differences between the two groups in the two subscales of the Simplified Coping Style Questionnaire(SCSQ):positive cop-ing and negative coping(P>0.05).After the intervention,the positive coping dimension scores increased and the negative coping dimension scores decreased significantly in both groups compared to pre-intervention,with the observation group showing significantly higher positive coping and lower negative coping scores than the control group(P<0.05).Regarding post-traumatic growth,before the intervention,there were no significant differences between the two groups in the five sub-scales of the Post-Traumatic Growth Inventory(PTGI):spiritual change,personal strength,interpersonal relationships,appreciation of life,and new possibilities(P>0.05).After the intervention,all five subscales of PTGI scores increased sig-nificantly in both groups compared to pre-intervention,with the observation group showing significantly higher scores than the control group(P<0.05).Conclusion The application of ACT among PBSCT patients helps alleviate anxiety and de-pression,promote psychological resilience,strengthen coping styles,and boost post-traumatic growth.关键词
接纳与承诺疗法/外周造血干细胞移植/负性情绪/心理弹性/应对方式/创伤后成长Key words
Acceptance and commitment therapy/Peripheral blood stem cell transplantation/Negative emotions/Psychologi-cal resilience/Coping styles/Post-traumatic growth分类
医药卫生引用本文复制引用
杨露,郑静,王孟佳添,宋婷婷,李慧,陈绍敏,陈杨..接纳与承诺疗法对外周造血干细胞移植患者心理弹性及创伤后成长的影响[J].保健医学研究与实践,2025,22(1):111-117,7.基金项目
四川省卫生健康委员会课题(17PJ407). （17PJ407）
