Abstract:Objective: To explore the effect of psychological intervention based on the concept of acceptance and commitment therapy in caregivers of burn patients with the view to providing theoretical guidance and practical basis for clinical application of this program.Methods: Using convenience sampling method, 110 caregivers of burn patients in Burn Department of the Second Affiliated Hospital of Shandong First Medical University were randomly divided into control group and test group.The routine health education was carried out in the control group; the experimental group was supplemented by psychological intervention based on admission commitment therapy on the basis of routine care. The general information questionnaire, Self Ratinganxiety Scale(SAS),Connor-Davidson Resilience Scale (CD-RISC) and Herth Hope Index scale (HHI) were used.The scores of the two groups of subjects at T1and T2 were investigated.Results: Before the intervention, there was no significant difference in the scores of SAS, CD-RISC and HHI between the two groups (P﹥0.05). After the intervention, the SAS score of the patients in the experimental group was lower than that of the control group, and the scores of CD-RISC and HHI were higher than those of the control group (P<0.05).Conclusion: Psychological intervention based on the concept of acceptance and commitment therapy can effectively improve the acceptance of psychological crisis in caregivers of pediatric burn patients, improve negative emotions such as guilt,anxiety, depression,and increase the level of mental resilience and hope.

Key words:pediatric burns,caregiver,acceptance and commitment therapy,psychological intervention

摘要：目的 探讨基于接纳与承诺疗法理念的心理干预在烧伤患儿照护者中的应用效果,以期为临床应用该方案提供理论指导和实践依据。方法 采用便利抽样法,选取在betway必威登陆网址 第二附属医院烧伤科住院的烧伤患儿照护者共110名,随机分为对照组和试验组。对照组进行常规健康宣教;试验组在常规护理的基础上辅以基于接纳承诺疗法的心理干预。采用一般资料调查表、焦虑自评量表(SAS)、心理弹性量表(CD-RISC)和Herth希望指数量表(HHI),分别调查两组研究对象在T1、T2时间点的量表得分。结果 干预前,两组烧伤患儿照护者的SAS、CD-RISC和HHI得分差异无统计学意义(P＞0.05)。干预后,试验组患者SAS得分低于对照组,CD-RISC、HHI得分高于对照组,差异有统计学意义(P＜0.05)。结论 基于接纳与承诺疗法理念的心理干预能够有效提升小儿烧伤患儿照护者对心理危机的接纳程度,改善愧疚、焦虑、抑郁等负性情绪,提升心理韧性和希望水平。

关键词:小儿烧伤,患儿照护者,接纳与承诺疗法,心理干预