Influence of acceptance and commitment therapy on mental toughness,coping style and quality of life of burn patients after skin grafting and its correlation analysis
XU Yu
ZHANG Qiaoyang
PAN Weicheng
LU Xian
Abstract：Objective To observe the effect of acceptance and commitment therapy(ACT)on mental toughness,coping style and quality of life of burn patients with skin grafting.Methods A total of 86 burn patients who underwent skin grafting in our hospital from February 2021 to May 2024 were selected as the study subjects.They were divided into control group(n=43,routine care)and observation group(n=43,acceptance and commitment therapy).Wound recovery effect,mental toughness(CD-RISC),coping style(MCMQ)and quality of life(BSHS-B)were compared.Results The wound healing time and wound skin blood flow recovery time in the observation group were shorter than those in the control group(P<0.05).After intervention,the CD-RISC scores in the observation group were higher than those in the control group(P<0.05),the face scores in MCMQ scores were higher than those in the control group(P<0.05),and the avoidance and yield scores in MCMQ scores were lower than those in the control group(P<0.05).After intervention,the BSHS-B score of the observation group was higher than that of the control group(P<0.05).The correlations of BSHS-B score with tenacity,optimism and self-reliance scores in CD-RISC as well as with MCMQ face scores were positive(r=0.633,0.583,0.582 and 0.548,respectively,P<0.05).The correlations of BSHS-B score with MCMQ avoidance score and with yield score were negative(r=-0.548 and-0.653,respectively,P<0.05).Conclusions ACT can improve psychological resilience,coping style and quality of life in burn patients with skin grafting.There is a positive correlation between mental toughness and active coping style in burn patients.
Keywords：burnsskin graftingacceptance and commitment therapymental toughnesscoping stylequality of life
Publication Date：2025-06-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 69-73 )