目的 探讨接纳与承诺疗法对重症监护病房(ICU)转出患者创伤后应激障碍(PTSD)及创伤后成长(PTG)的影响.方法 选择2021 年7 月至2022 年12 月南通市第一人民医院综合ICU转出患者86 例,采用随机数字表法分为观察组与对照组各43 例.对照组给予ICU转出患者常规护理干预,观察组在此基础上联合应用接纳与承诺疗法.比较两组PTSD、PTG、重返ICU率.结果 观察组患者回避/麻木、高警觉、再体验、PSTD总分均低于对照组(P<0.05);个人力量、人际关系、新可能性、精神变化、PTG总分高于对照组(P<0.05);重返ICU率低于对照组(χ2 =4.547,P<0.05).结论 接纳与承诺疗法能够缓解ICU转出患者创伤后应激障碍,促进创伤后成长,降低重返ICU发生率.
Objective To investigate the effect of acceptance and commitment therapy on post-traumatic stress disorder(PTSD)and post-traumatic growth(PTG)in transferred patients from intensive care unit(ICU).Methods Eighty-six patients transferred from ICU from July 2021 to December 2022 were selected.The patients were divided into an observation group and a control group using random number table method,43 in each group.The control group was given routine nursing intervention.The observation group was combined with acceptance and commitment therapy.PTSD,PTG and return to ICU rate were compared between the two groups.Results The total scores of avoidance/numbness,high alertness,reexperience and PTSD in the observation group were lower than those in the control group(P<0.05).The total score of personal strength,interpersonal relationships,new possibilities,mental changes and PTG in the observation group were higher than those in the control group(P<0.05).The rate of return to ICU in the ob-servation group was lower than the control group(P<0.05).Conclusions Acceptance and commitment therapy can relieve the PTSD,promote the PTG and reduce the rate of return to ICU.