接受和承诺治疗 (ACT) 对于晚期进展性疾病患者,他们的护理人员和参与他们的护理的员工:范围审查
Tilly Gibson Watt1, David Gillanders2, Juliet A Spiller1,3
1University of Edinburgh Medical School, University of Edinburgh, Scotland, UK.
Palliative medicine
|July 25, 2023
概括
接受和承诺疗法 (ACT) 是一种可行的基于正念的治疗方法,用于晚期进展性疾病,有可能改善焦虑和痛苦. 需要进一步的研究来证实它在息护理环境中的有效性.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 心理治疗方法 心理治疗方法
- 基于正念的干预措施
背景情况:
- 晚期进展性疾病往往会引起患者和护理人员的焦虑和预期的悲伤.
- 当担忧是有效的,传统的心理方法可能是有限的.
- 接受和承诺疗法 (ACT) 提供一种基于正念的方法,以促进接受和有价值的生活.
研究的目的:
- 系统地审查关于ACT的证据,针对晚期进展性疾病的患者,他们的护理人员和息护理人员.
- 了解ACT在息护理环境中的应用和结果.
主要方法:
- 对四个数据库 (Medline,PsychInfo,CINAHL,AMED) 的系统范围审查.
- 从1999年1月到2023年5月使用相关的MeSH术语和关键词进行搜索.
- 包括来自1373篇识别论文的26项研究.
主要成果:
- 研究包括患者 (n=14),非正式照顾者 (n=4),工作人员 (n=3),丧亲照顾者 (n=3),混合组 (n=2).
- 干预研究 (n=15) 表明ACT是可以接受的,可以改善焦虑,抑郁,痛苦和睡眠.
- 观察性研究 (n=11) 将接受与更好地适应损失和身体功能联系起来.
结论:
- 在息治疗中,ACT是可以接受和可行的,对焦虑,抑郁和痛苦有潜在的益处.
- 需要进一步的混合方法研究来确定患者的有效性和成本效益.
- 需要对为丧亲照顾者和工作人员提供ACT的额外研究.
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