Intervention
tearing, stroke
STROKE
The patients included to the control group received usual care support in hospital, and the patients included to the intervention group received G‐ACT and usual care support. Based on the Hayes and Wilson (Session‐by‐session outline of acceptance and commitment therapy course.Getting to know stroke, from a broader perspectiveFamiliarity and creating therapeutic communication. Encourage patients to share their views about stroke, ask the patients to share where they get their information about stroke, health education, including the risk factors, outcome, and rehabilitation, creating the distinction between actions that are under our control and actions that are controlled by our mindEmbrace everyday life, be content with the presentEncourage the patients to express their feelings and thoughts, normalization of negative thoughts, strengthen the positive thoughts, focus on acceptance of unpleasant feelings without trying to avoid or suppress themObserve yourself and understand yourselfBy using self‐portrait, labeling, tearing off the label to teach the patients learn to observe and understand themselves, and recognize that “I'm who I am”Be aware of the present moment and embrace itGuide the patients to be aware of the present moment, and encourage them to describe their current feelings and embrace them, and reinforce positive beliefsIdentification of individual valuesHelp the patient identify individual values at present and establish a positive attitude to face the current situationSet goals and commit to actionHelp the patient develop specific goals based on value orientation, and identify targets in line with their current situation and commit to actionLearn how to relax, improve sleep qualityBy using abdominal breathing, relaxing music, soft, and slow language to let the patient relax, help them learn the relaxation technique and can practice it by themselvesThe group training sessions were performed and administered by two research nurses. Prior to the study, the 2 nurses completed an online ACT training course including 16 classes in Meilihua eHealth University, and received supervision from 2 clinical psychologists, who had 5 years of experience in ACT therapy and who participated in designing the intervention sessions as primary researchers in the study. Prior to the study, the two nurses delivered three whole G‐ACT intervention sessions with stroke survivors by themselves with supervision by one of the two clinical psychologists, and the results showed good interventional outcome.