| Objective:To understand the psychological situation of fear of cancer recurrence(FCR)in lung cancer patients and to develop the intervention plan of acceptance commitment therapy for lung cancer patients.To explore the effect of acceptance commitment therapy on the fear of cancer recurrence,psychological flexibility in patients with lung cancer,so as to improve the quality of life of patients and provide reference for the clinical application of this method.Methods:Questionnaire survey and clinical trial were used in this study.Patients with lung cancer who were received treatment in the oncology department of a third-class hospital in Jilin Province from January 2020 to January 2021 and who met the research criteria were selected.The patients were divided into experimental group and control group by random number table method.The control group was intervened with conventional methods,and the experimental group was intervened with acceptance commitment therapy at three time points of the early,middle and late stages of each chemotherapy cycle.The study intervened three chemotherapy cycles,a total of 9 times.Baseline data were collected at the time of admission,and the scores of Fo P-Q-SF,AAQ-Ⅱ and QLQ-C30 were investigated at the first admission(T0),discharge after intervention(T1),1 month(T2)and 3 months(T3)after intervention.The scores of these questionnaires before and after nursing intervention between two groups were compared and analyzed.Data were analyzed by SPSS 24.0statistical software.And the measurement data were described by means and standard deviation.The enumeration data were expressed by frequency and rate.Independent sample T test or non-parametric rank sum test was used for comparison between groups.Chi-square test was used for comparison between rates and constituent ratios.The questionnaire scores at four time points were compared by repeated measurement ANOVA.P < 0.05 indicated statistically significant differences.Results:1.Comparison between the two groups before intervention There was no significant difference in the scores of Fo P-Q-SF,AAQ-Ⅱ and QLQ-C30 between the two groups before intervention(P>0.05);2.Overall comparison of scores of Fo P-Q-SF between the two groups Intergroup effect: There was a statistically significant difference in Fo P-Q-SF scores between the two groups(P < 0.001),The scores of Fo P-Q-SF in the experimental group were lower than those of the control group at three time points after the intervention.Time effect:The scores of Fo P-Q-SF between two groups were statistically significant at different time points(P<0.001).The scores of the control group showed an upward trend,while the scores of the experimental group showed a downward trend.Interaction: There was interaction between intervention and time factors in the scores of Fo P-Q-SF between the two groups,that is,the change trend of scores of Fo P-Q-SF was different at different time points.3.Overall comparison of AAQ-Ⅱ scores between the two groups Intergroup effect: There was a statistically significant difference in AAQ-Ⅱ scores between the two groups(P < 0.001),The scores of AAQ-Ⅱ in the experimental group were lower than those of the control group at three time points after the intervention.Time effect:The scores of AAQ-Ⅱ between two groups were statistically significant at different time points(P<0.001).The overall scores of the control group showed an upward trend,while the scores of the experimental group fluctuated slightly,but showed a overall downward trend.Interaction: There was interaction between intervention and time factors in the scores of AAQ-Ⅱ between the two groups,that is,the change trend of scores of AAQ-Ⅱ was different at different time points.4.Overall comparison of QLQ-C30 scores between the two groups Intergroup effect: There was a statistically significant difference in emotional function,pain and fatigue scores between the two groups(P < 0.001),The scores in the experimental group were lower than those of the control group at three time points after the intervention.Time effect: There was no significant difference between the two groups(P>0.05).The scores of emotional function,physical function,role function,cognitive function,social function,nausea and vomiting,insomnia,loss of appetite,economic difficulties and overall health between two groups were statistically significant at different time points(P<0.001).Interaction: There was interaction between intervention and time factors in the scores of emotional function between the two groups,that is,the change trend of scores of emotional function was different at different time points.Conclusion:(1)Acceptance commitment therapy can reduce the level of fear of cancer recurrence in lung cancer patients.(2)Acceptance commitment therapy can effectively reduce the experiential avoidance of patients with lung cancer and enhance their psychological flexibility.(3)Acceptance commitment therapy can improve quality of life in cancer patients with lung cancer,improve emotional function,relieve pain and fatigue symptoms. |
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