Application and effect observation of acceptance and commitment therapy in breast cancer patients undergoing chemotherapy

目的探讨接纳与承诺疗法对乳腺癌术后化疗患者康复期创伤后水平及负性情绪变化的作用及效果。方法选取2019年3月-2020年2月收治于深圳市萨米医疗中心、西安交通大学第一附属医院、西安交通大学第二附属医院和陕西省肿瘤医院的乳腺癌术后化疗患者280例,采用随机数字表法分为对照组和观察组,各140例。对照组给予常规疗法,观察组在对照组基础上给予接纳与承诺疗法。比较两组患者创伤后成长及负性情绪得分。结果干预3个月后,观察组创伤后成长水平明显高于对照组,差异有统计学意义（P＜0.05）;观察组负性情绪评分均明显低于对照组,差异有统计学意义（P＜0.05）。结论接纳与承诺疗法应用于乳腺癌术后化疗患者中,可有效提高其创伤后成长水平,缓解患者的负性情绪,提高患者的生存质量,值得临床推广。

Objective To investigate the effects of acceptance and commitment therapy on post-traumatic growth and negative emotions in patients undergoing chemotherapy after surgery for breast cancer during the recovery period. Methods A total of 280 patients undergoing chemotherapy after surgery for breast cancer at Shenzhen Sami Medical Center, the First Affiliated Hospital of Xi'an Jiaotong University, the Second Affiliated Hospital of Xi'an Jiaotong University, and Shaanxi Cancer Hospital between March 2019 and February 2020 were randomly divided into a control group and an observation group, with 140 patients in each group. The control group received conventional therapy, while the observation group received acceptance and commitment therapy in addition to the control group. Post-traumatic growth and negative emotions scores were compared between the two groups. Results After three months of intervention, the post-traumatic growth level in the observation group was significantly higher than that in the control group (P < 0.05); the negative emotions scores in the observation group were significantly lower than those in the control group (P < 0.05). Conclusion Acceptance and commitment therapy can effectively improve post-traumatic growth, alleviate negative emotions, and enhance the quality of life of patients undergoing chemotherapy after surgery for breast cancer, and is worthy of clinical promotion.