PENG Yanli, ZHANG Cailing, LI Xiaojing

( Department of Emergency, Pingdingshan the Second People′s Hospital, Pingdingshan 467000, China)

Abstract Objective To investigate the effect of acceptance-commitment therapy on the physical and mental health of patients with postoperative traumatic brain injury. Methods 68 patients with craniocerebral trauma treated with intracranial hematoma evacuation were enrolled. They were randomly divided into two groups, with 34 cases in each group. The control group were given usual care intervention and the experimental group were given an acceptance-commitment intervention on top of usual care. The Hamilton Anxiety Scale ( HAMA) and Hamilton Depression Scale ( HAMD) were used to evaluate the degree of anxiety and depression in patients, the Psychological Resilience Scale ( CD-RISC) was used to evaluate the psychological resilience of patients, the Simple Coping Style Scale ( SCSQ ) was used to evaluate coping styles, and the Mini Mental State Examination Scale ( MMSE ) was used to evaluate cognitive function. Results The scores of HAMA and HAMD in the experimental group were lower than those in the control group ( P<0.05) , the scores of CD-RISC were higher than those in the control group ( P<0.05) , the positive coping score was higher than that in the control group ( P < 0. 05) , and the negative coping score was lower than that in the control group ( P < 0. 05) . The recall ability, language ability score and total score were higher than those in the control group ( P < 0. 05) . Conclusion Acceptance-commitment therapy improves anxiety-depression and cognitive function in patients undergoing intracranial hematoma resection, and is helpful to promote the recovery of physical and mental health after surgery.

Keywords: acceptance-commitment therapy; head trauma; intracranial hematoma removal

DOI:10.19296/j.cnki.1008-2409.2024-03-036

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