癌症患者的护理人员接受和承诺治疗:系统性审查和元分析
Yunfan Gu1, Mingyu Duan1, Yanyan Huang2
1Jiangxi University of Chinese Medicine, NO.1688 Meiling Avenue, Nanchang, 330006, Jiangxi Province, China.
Scientific reports
|July 1, 2025
概括
接受和承诺疗法 (ACT) 显著改善了癌症护理人员的心理健康,减少了焦虑和抑郁. 这种疗法表现出高接受率,增强心理灵活性,提供了有价值的治疗选择.
科学领域:
- 心理学 心理学 心理学
- 在瘤学瘤学.
- 心理健康 心理健康
背景情况:
- 癌症患者的护理人员经历了重大的心理健康挑战,包括焦虑和抑郁.
- 接受和承诺治疗 (ACT) 是一种促进心理灵活性的心理干预.
研究的目的:
- 评估ACT在改善癌症患者护理人员心理健康方面的有效性.
- 确定特定的ACT干预方法,最大限度地提高治疗效果.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查和元分析.
- 在多个数据库 (PubMed,Cochrane Library,CINAHL,Embase,Web of Science,CNKI,Wanfang,Weipu) 进行了搜索,截至2024年7月31日.
- 包括8项涉及675名护理人员的RCT,并使用RevMan 5.4和Stata 14软件分析数据.
主要成果:
- ACT在干预后 (SMD范围: -0.41至 -1.22) 和随访 (SMD范围: -0.49至 -0.80) 改善心理健康方面表现出显著的影响.
- 基于医院的ACT改善了焦虑 (SMD = -1.45) 和抑郁 (SMD = -1.07),增加了心理灵活性 (SMD = -1.42).
- 面对面的干预和与传统护理结合的ACT在减少负面情绪和改善心理灵活性方面表现出更高的有效性.
结论:
- 接受和承诺疗法有效地缓解了癌症护理人员的焦虑和抑郁.
- 在这一群体中,ACT增强了心理灵活性,并减少了压力症状.
- 低的退休率 (18%) 表明护理人员接受度很高,支持ACT在癌症护理人员的心理护理中的适用性.
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