接受和承诺疗法通过减少无助感来改善乳腺癌患者的生活质量:随机对照试验
Wenjun Song1,2, Nurul Izzah Shari3, Mohammad Farris Iman Leong Bin Abdullah4
1The Second Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, People's Republic of China.
BMC palliative care
|March 5, 2026
概括
接受和承诺疗法 (ACT) 显著减少了乳腺癌患者的无助感和改善了生活质量 (QoL). 这些对 QoL 和无助感的积极影响在 12 周的随访中持续存在.
科学领域:
- 心理社会瘤学 心理社会瘤学
- 行为医学是一种行为医学.
- 临床心理学 临床心理学
背景情况:
- 乳腺癌显著影响患者的生活质量 (QoL),无助感是一个主要的因素.
- 接受和承诺疗法 (ACT) 显示了增强心理灵活性的潜力.
- 在乳腺癌患者减轻无助感和改善QoL方面,ACT的有效性需要进一步研究.
研究的目的:
- 研究接受和承诺疗法 (ACT) 对乳腺癌患者的无助感和生活质量 (QoL) 的影响.
- 在12周的时间内评估ACT对这些结果的持续影响.
- 为了确定ACT是否改善了QoL的特定领域.
主要方法:
- 一个单盲,双臂,并行随机受控试验 (RCT) 涉及80名乳腺癌患者.
- 参与者被随机分配到ACT (n=40) 或通常治疗 (TAU,n=40).
- 在基线,4周 (干预后) 和12周 (随访) 进行了无助和QOL的评估,使用验证的问卷. 数据使用重复测量ANOVA进行分析.
主要成果:
- 与TAU相比,ACT干预导致无助感显著减少.
- 总体QOL和所有评估的QOL域在ACT组和TAU组中显示出显著的改善.
- 在12周的后续评估中,这些QOL的改善和无助感的减少得到了维持.
结论:
- ACT是乳腺癌患者的有效心理社会干预,通过减轻无助感,可证明改善了生活质量.
- 这些发现表明,ACT可以整合到支持性和息性护理中,以解决影响患者福祉的关键心理因素.
- 持续的改善强调了ACT对这一群体的长期益处.
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