Tan, X., Zuo, M., Wei, J., & Li, F., (2019). Influence of Acceptance and Commitment Therapy on Physical Disorder and Self-esteem of Patients with Enterostomy. Journal of Clinical Medical Literature, 90, 123-126.
Acceptance and Commitment Therapy ; Colostomy ; Body Image Disorder ; Self-esteem Score
目的探讨接纳与承诺疗法对肠造口患者体象障碍及自尊的影响。方法选取2017年3月～2019年3月我院胃肠中心收治的直肠癌并行肠造口术的患者75例作为研究对象,按住院号尾号单双数将其分为观察组(单数)37例与对照组(双数)38例。对照组实施常规护理干预,观察组则在常规护理的基础上以接纳与承诺疗法为指导实施护理干预。采用体象障碍自评量表及自尊状态量表分别在干预前后对两组患者进行测量,观察并比较两组患者干预前后的体象障碍评分及自尊评分。结果干预前两组患者的体象障碍评分及自尊评分相似,差异无统计学意义(P>0.01);在接受接纳与承诺疗法干预后,观察组患者体象障碍评分显著下降,并显著低于对照组,差异有统计学意义(P<0.05);观察组患者自尊评分显著上升,并显著高于对照组,差异有统计学意义(P<0.05)。结论将接纳与承诺疗法应用于肠造口患者中,可显著提高患者的自尊水平,缓解患者的体象障碍及心理问题,促进患者术后早日回归家庭和社会。
Objective: To explore the effect of acceptance and commitment therapy on body image disorder and self-esteem in patients with colostomy.
Methods: A total of 75 patients with rectal cancer and colostomy who were admitted to the gastrointestinal center of our hospital from March 2017 to March 2019 were selected as the research subjects. According to the odd and even numbers at the end of their hospitalization numbers, they were divided into an observation group (odd numbers) of 37 cases and a control group (even numbers) of 38 cases. The control group received routine nursing intervention, while the observation group received nursing intervention guided by acceptance and commitment therapy on the basis of routine nursing. The body image disorder self-rating scale and self-esteem state scale were used to measure the body image disorder scores and self-esteem scores of the two groups before and after the intervention, respectively.
Results: Before the intervention, the body image disorder scores and self-esteem scores of the two groups were similar, with no significant difference (P>0.01); after the intervention of acceptance and commitment therapy, the body image disorder scores of the observation group decreased significantly, and were significantly lower than those of the control group, with a statistically significant difference (P<0.05); the self-esteem scores of the observation group increased significantly, and were significantly higher than those of the control group, with a statistically significant difference (P<0.05).
Conclusion: The application of acceptance and commitment therapy in patients with colostomy can significantly improve the self-esteem of patients, alleviate their body image disorder and psychological problems, and promote their early return to family and society after surgery.
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