Studying the Effectiveness of Treatment Based on Acceptance and Commitment on Improving Problems Related to Sleep and Social Isolation in Patients with Ostomy in Ghaem Clinic, Mashhad

Gastrointestinal ostomy has a great impact on a person's personality perspective, which causes major changes in lifestyle, communication, sleep, marriage, and self-esteem. Over the past decades, mindfulness and acceptance-based approaches to psychotherapy have made significant progress; Therefore, the present study was conducted to investigate the effectiveness of treatment based on acceptance and commitment to social isolation and sleep problems of people with ostomy in Ghaem clinic in Mashhad.

The research design was quasi-experimental, pretest-posttest with a control group. The sample consisted of 40 patients who underwent surgery in the last 6 months of 2018 and underwent an ostomy and were referred to Ghaem Clinic in Mashhad on an outpatient basis in 98-99. Which were selected by available sampling and randomly assigned to experimental and control groups (20 people in each group). In this study, a questionnaire of behaviors related to Ray and Harvey's sleep and social isolation with 18 questions was used. Interventions were performed according to the protocol of Hayes, Strosahl, and Wilson acceptance and commitment therapy sessions during 8 90-minute training sessions, one session per week.

The results of multivariate analysis of covariance showed that after the intervention, a significant difference was observed in the mean score of social isolation test and sleep-related behaviors in the experimental and control groups (p <0.001).

Discussion and conclusion :

According to the results of this research, treatment based on acceptance and commitment can have a significant effect on the social isolation and sleep problems of people with ostomies and have the necessary efficiency. This means that performing this treatment method improves sleep problems and social isolation. It has been investigated in the community.