接纳承诺疗法为导向的心理干预对急性缺血性脑卒中患者影响

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AbstractObjective：To explore theimpact of acceptanceandcommitment therapy（ACT）-oriented psychological interventionon sleepqualityandnegativeemotionsinpatientswithacute ischemicstroke.Methods：Atotalof12Opatientswithacuteischemic strokeadmitedto XiamenFifthHospitalfromAugust2O2Oto December2O21wereselectedforthisstudy.Thepatients wererandomlydivided intoacontrol group andanobservation group，with 6Ocases in each group.Thecontrol groupreceivedroutine psychologicalintervention，hiletheobservationgroupreceivedACT-orientedpsychologicalintervention.Aftertheintervention，the Positiveand NegativeAfectSchedule（PANAS）wasusedtocomparenegativeemotions betweenthetwogroups，andtheitsburgh SleepQuality Index（PSQI）was used toassessleepquality.Results：Theobservationgroupshowed significantlybeterresultsonbothnegativeemotionandsleepqualitycomparedtothecontrolgroup，andthediferenceswerestatisticallysignificant （ P<0.05 ）. Conclusion：The useofACT-oriented psychological intervention in patients with acute ischemic stroke helps improve sleep quality and alleviate negative emotions.

KeywordsAcceptanceand Commitment Therapy；Psychological intervention；Acute ischemic stroke；Sleepquality；Negative emotions；Pitsburgh Sleep Quality Index；Positive and Negative Affct Schedule；Randomized controlled trial 中图分类号：R338.63 文献标识码：A doi：10.3969/j. issn.2095 -7130.2025.08.060

急性缺血性脑卒中（CerebralIschemicStroke，CIS）是一种常见的脑血管疾病，是脑血管阻塞导致脑部血液供应不足进而引发的脑组织损伤的一种疾病，该疾病在中老年人群中发病率较高[1]。（剩余4354字）