接纳承诺疗法在头颈部恶性肿瘤放疗患者口腔护理中的应用效果

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Application Effect of Acceptance Commitment Therapy in Oral Care of Patients with Head and Neck Malignant Tumors Radiotherapy/LIU Xinyue， XING Yun， ZHANG Liyang.//Medical Innovation of China， 2025，22（11）： 085-089

[Abstract]Objective： To explore the effect of acceptance commitment therapy in oral care of patients with head and neck malignant tumor radiotherapy.Method：A total of 84 patients withhead andneck malignant tumor radiotherapy admitted to the Oncology Department of Nanjing Gaochun People's Hospital from January 2022 to January 2024 were randomly divided into two groups， with 42 patients in each group.The control group was treated with routine nursing， andthe study group added acceptance commitment therapy on thebasisof the control group.Thedegreeoforal mucosa injury，psychological state，self-efficacy andqualityof lifeof thetwo groups were compaed. Result：The occurrence time oforal mucosal injury in the study groupwas later than that in the control group，and the degreeoforal mucosalinjury was lower than that in thecontrol group，with statistical significance （P<0.05） . After intervention， the scores of the Chinese version of depression anxiety and stress scale （DASS-21） in both groups werelower than those before intervention，the scoresof the Chinese version of the strategies used

基金项目：南京市高淳人民医院护理高质量科研项目（GYK-2023-003）

① 南京市高淳人民医院肿瘤科江苏南京211300通信作者：刘新月

by people to promote health （SUPPH）and the MOS item short form health survey （SF-36） werehigher than those before intervention，and the DASS-2lscores inthe study group werelowerthan thosein thecontrol group，SUPPH and SF-36 scores were higher than those of control group， the diffrences were statistically significant （ P <0.05）. Conclusion： Acceptance commitment therapy in oral care for head and neck malignant tumors radiotherapy can reduce the degreeoforal mucosainjury，regulate psychological state，and improve self-efficacy and qualityof life.

[Key words] Acceptance commitment therapy Head and neck malignant tumors Radiotherapy Oral care Oral mucosal injury

First-author's address： Oncology Department of Nanjing Gaochun People's Hospital， Nanjing 211300 China

doi：10.3969/j.issn.1674-4985.2025.11.019

头颈部器官种类较多，与人体视、听、嗅、温度调节均密切相关，头颈部恶性肿瘤是指发生于锁骨之上、颅腔之外的恶性肿瘤，包括鼻咽癌、喉癌、甲状腺癌等等，具有患病部位多发、肿瘤类型多样的特点。（剩余6522字）