接受和承诺治疗的可接受性和可行性,以改善血造干细胞移植的结果
Rhonda M Merwin1, Patrick J Smith2, J A Riley3
1Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, United States of America.
PloS one
|March 7, 2025
概括
接受和承诺疗法 (ACT) 是血造干细胞移植 (HCT) 患者和护理人员的一种可行的干预措施. 这种简短的治疗可以帮助患者在康复期间保持体力活动.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 移植医学 移植医学
背景情况:
- 全基性造血干细胞移植 (HCT) 为血液性恶性瘤提供治疗潜力,但涉及与治疗相关的高风险.
- 患者的体力活动对于优化HCT结果至关重要.
- 目前的干预措施缺乏关注支持患者在移植后的身体和情绪挑战中表现的行为.
研究的目的:
- 评估短暂接受和承诺治疗 (ACT) 干预对HCT患者和护理人员的可接受性.
- 确定ACT是否有助于在HCT康复期间参与健康行为.
- 评估ACT对身体功能和患者福祉的影响.
主要方法:
- 一项试点研究涉及16个HCT患者-护理人员二合体,接受异性HCT.
- 基于小群体参与者反的六次会议ACT协议的代改进.
- 通过会议完成率和调查来评估可接受性;用6分钟步行距离测量身体功能.
主要成果:
- 对ACT干预的高度坚持,大多数参与者完成了所有会议.
- 积极的参与者反表明ACT被认为是有帮助的.
- 大多数患者 (70%) 在干预后的6分钟步行距离中表现出改善.
结论:
- 接受和承诺疗法 (ACT) 是对HCT患者及其照顾者而言耐受良好且潜在有益的干预措施.
- 在充满挑战的HCT恢复过程中,ACT可以支持身体活动和福祉.
- 建议进一步进行严格的受控试验,以确认ACT在这个人群中的有效性.
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