接纳与承诺疗法在周围性面瘫病人中的应用

    Application of acceptance and commitment therapy in patients with peripheral facial paralysis

    • 摘要:
      目的探讨接纳与承诺疗法在周围性面瘫病人中的应用效果。
      方法选取周围性面瘫病人84例,采用随机数字表法分为对照组和观察组,各42例。对照组给予常规护理,观察组给予常规护理+接纳与承诺疗法。比较干预前后2组病人医学应对方式、自我感受负担及焦虑情况。
      结果干预前,2组医学应对方式、自我感受负担各维度得分和焦虑得分差异均无统计学意义(P>0.05);干预2周后,2组病人上述得分与干预前差异均有统计学意义(P < 0.05~P < 0.01),且观察组中医学应对方式面对维度得分高于对照组(P < 0.05),医学应对方式中屈服及回避维度得分、自我感受负担中身体负担及情感负担维度得分、焦虑得分均低于对照组(P < 0.05~P < 0.01)。
      结论接纳与承诺疗法可有效减轻周围性面瘫病人自我感受负担和焦虑,促进疾病的康复。

       

      Abstract:
      ObjectiveTo explore the effect of acceptance and commitment therapy on patients with peripheral facial paralysis.
      MethodsA total of 84 patients with peripheral facial paralysis were selected and divided into the control group (routine care) and observation group (routine care + acceptance and commitment therapy) by random number table method, with 42 cases in each group.The medical coping style, self-perceived burden, and anxiety of the two groups were compared before and 2 weeks after the intervention.
      ResultsBefore the intervention, there was no statistical significance in scores of medical coping style, self-perceived burden, and anxiety between the two groups (P>0.05).After 2 weeks of intervention, the above scores of patients in the two groups were statistically significant different from those before intervention(P < 0.05 to P < 0.01), meanwhile the scores of medical coping style dimensions in the observation group were higher than that in the control group (P < 0.05), the scores of yielding and avoiding dimensions in medical coping style, physical and emotional burden dimensions in self-perceived burden, and anxiety were lower than those in the control group(P < 0.05 to P < 0.01).
      ConclusionsAcceptance and commitment therapy for patients with peripheral facial paralysis can effectively reduce their self-perceived burden and anxiety, and promote the recovery of the disease.

       

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