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| Effect of acceptance and commitment therapy on negative emotion and self-efficacy in patients with cerebral infarction and hemiplegia |
| SHI Jingjing1,2, WANG Qinghua1* |
1 School of Nursing, Binzhou Medical University, Yantai 264003, Shandong, P.R.China;
2 Binzhou Medical University Hospital, Binzhou 256603, Shandong, P.R.China |
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Abstract Objective To investigate the effect of acceptance and commitment therapy on negative emotion and self-efficacy in patients with cerebral infarction and hemiplegia.Methods Convenience sampling method was used to select 81 cases of patients with cerebral infarction and hemiplegia in the department of neurology of a tertiary hospital as the research objects. The patients were randomly divided into the control group and the experimental group according to the admission sequence and admission number. There were 41 cases in the control group and 40 cases in the experimental group. The control group received routine care, and the experimental group received acceptance and commitment therapy besides routine care. The negative mood improvement and self-efficacy of the two groups were compared at before and after the intervention. Results Two weeks and 4 weeks after ACT intervention, the GAD-7 score of patients with CI hemiplegia in the experimental group was (10.62±1.38) and (8.91±1.81), lower than those in the control group (11.04±1.32) and (10.14±1.84), (average P<0.05); repeated measurement analysis of variance showed that time effect, inter-group effect and interaction effect were statistically significant between the two groups (average P<0.05). The GDS-15 scores of patients with CI hemiplegia in experimental group was (7.87±0.49) and (5.91±0.31), lower than those in control group (8.03±0.42) and (7.39±0.49), (average P<0.05); repeated measurement analysis of variance showed that time effect, inter-group effect and interaction effect were statistically significant between the two groups (average P<0.05). Two weeks and 4 weeks after ACT intervention, the GSES scores of patients with CI hemiplegia in the experimental group was (24.32±4.71) and (25.42.±4.41), higher than those in control group (22.06±3.05) and (23.11±3.06), (average P<0.05); repeated measurement analysis of variance showed that time effect, inter-group effect and interaction effect were statistically significant between the two groups (average P<0.05). The GAD-7, GDS-15 and GSES scores of two groups at each time point were pairwise compared, and the differences were statistically significant (average P<0.05).Conclusion The acceptance and commitment therapy can improve the negative emotions of patients with cerebral infarction and hemiplegia and enhance the level of self-efficacy of patients with cerebral infarction hemiplegia.
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Received: 04 June 2020
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