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基于接纳与承诺疗法(ACT)的护理模式在改善结直肠癌药物化疗后心理健康及生活质量中的应用

Application of the Nursing Model Based on Acceptance and Commitment Therapy (ACT) in Improving Mental Health and Quality of Life after Colorectal Cancer Drug Chemotherapy.

作者信息

Shi Yali, Yu Hongwei, Miao Jiangyong, Wang Lihui

机构信息

Gastrointestinal Surgery, Hernia and Abdominal Wall Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, China.

Nursing Department, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, China.

出版信息

J Oncol. 2021 Dec 20;2021:8142155. doi: 10.1155/2021/8142155. eCollection 2021.

DOI:10.1155/2021/8142155
PMID:34966428
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8712122/
Abstract

According to the most current cancer impact statistics, third most commonly diagnosed cancer worldwide is colorectal cancer. Colon cancer, in addition to its physical symptoms, has been linked to mental health issues in patients, according to the study. Dealing with colorectal cancer drug chemotherapy may lead to depression and anxiety in some people. Others are affected by the physical and mental condition of undergoing many therapies at the same time. Throughout the process of diagnosis, a large number of colorectal cancer patients report clinically relevant degrees as well as a decline in overall mental wellness. In the majority of cases, colon cancer patients are cured following therapy, but those who have survived the disease confront a medical range, physical, and challenges in society, for a variety of mental and physical problems such as anxiety and depression. First, meditation therapy is to urge patients to address their issues and feelings instead of dismissing them, but in the dispassionate and unbiased manner that defines the attentive state. Both the patient and the treating professional may benefit from this treatment method, since it appears to be a very effective therapeutic strategy. After colorectal cancer treatment, in studies, it has been demonstrated that ACT improves mental health, and Internet search engines such as Web of Science and Google Scholar as well as Dialnet were utilized to conduct a systematic literature There were 19 articles that fit the criteria. This includes a discussion of the ACT's philosophical and theoretical basis, as well as the treatment itself. On the other hand, the study on ACT for enhancing mental health and quality of life is examined. Several of the available trials had serious flaws, making it impossible to establish reliable conclusions about the effectiveness of ACT for improving mental health and quality of life. The study determined that there is only a small amount of data supporting the use of ACT for improving mental health. The aim of this study is the application of the nursing model on improving the mental health of the colorectal patients. In addition, the limits of the current empirical state of ACT are acknowledged, and the importance of further research is highlighted.

摘要

根据最新的癌症影响统计数据,全球第三大常见诊断癌症是结直肠癌。研究表明,结肠癌除了有身体症状外,还与患者的心理健康问题有关。接受结直肠癌药物化疗可能会导致一些人出现抑郁和焦虑。其他人则受到同时接受多种治疗的身心状况的影响。在整个诊断过程中,大量结直肠癌患者报告了临床相关程度的整体心理健康下降。在大多数情况下,结肠癌患者在治疗后会治愈,但那些从疾病中幸存下来的人面临着一系列医疗、身体和社会挑战,存在各种身心问题,如焦虑和抑郁。首先,冥想疗法是促使患者正视自己的问题和感受,而不是忽视它们,而是以定义专注状态的冷静和公正的方式。患者和治疗专业人员都可能从这种治疗方法中受益,因为它似乎是一种非常有效的治疗策略。在结直肠癌治疗后,研究表明接受与承诺疗法(ACT)可改善心理健康,利用科学网、谷歌学术等互联网搜索引擎以及Dialnet进行了系统的文献检索。有19篇文章符合标准。这包括对接受与承诺疗法的哲学和理论基础以及治疗本身的讨论。另一方面,研究了接受与承诺疗法对改善心理健康和生活质量的作用。一些现有试验存在严重缺陷,无法就接受与承诺疗法改善心理健康和生活质量的有效性得出可靠结论。该研究确定只有少量数据支持使用接受与承诺疗法改善心理健康。本研究的目的是应用护理模式改善结直肠癌患者的心理健康。此外,承认了接受与承诺疗法当前实证状态的局限性,并强调了进一步研究的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4da/8712122/c2c37a7613e2/JO2021-8142155.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4da/8712122/c2c37a7613e2/JO2021-8142155.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4da/8712122/c2c37a7613e2/JO2021-8142155.002.jpg

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