阶梯式心理干预对骨癌患者疼痛、负性情绪及生活质量的影响
Effect of step-psychological intervention on pain,negative emotion and quality of life in patients with bone cancer
邓莹 1张俊娟 1潘卫宇 1王俊杰 1刘云可1
作者信息
- 1. 河南省人民医院骨科,郑州 450003
- 折叠
摘要
目的 探讨阶梯式心理干预对骨癌患者疼痛、负性情绪及生活质量的影响.方法 将120例骨癌患者按干预方法的不同分为观察组(n=60)和对照组(n=60).两组患者均接受常规治疗,观察组在对照组的基础上加用阶梯式心理干预.比较两组患者数字分级评分法(NRS)、医院焦虑抑郁量表(HADS)、健康调查简表(SF-36)、匹兹堡睡眠质量指数(PSQI)评分.结果 复查时,观察组患者NRS、PSQI评分均明显低于对照组,差异均有统计学意义(P﹤0.01).复查时,两组患者HADS-A和HADS-D评分均低于入院时,观察组患者HADS-A和HADS-D评分均低于对照组,差异均有统计学意义(P﹤0.05).复查时,两组患者生理功能、情感职能、精神健康、社会功能评分均高于本组入院时,观察组患者生理功能、情感职能、精神健康、社会功能评分均高于对照组,差异均有统计学意义(P﹤0.05).结论 阶梯式心理干预能有效缓解骨癌患者疼痛,改善负性情绪,提高生活质量与睡眠质量.
Abstract
Objective To investigate the effect of step-psychological intervention on pain,negative emotion and qual-ity of life in patients with bone cancer.Method A total of 120 patients with bone cancer were divided into observation group(n=60)and control group(n=60)according to different intervention methods.Both groups of patients received con-ventional treatment,observation group received step-psychological intervention on the basis of the control group.The scores of numerical rating scale(NRS),hospital anxiety and depression scale(HADS),the MOS 36-item short form health survey(SF-36)and Pittsburgh sleep quality index(PSQI)were compared between the two groups.Result At re-view,NRS and PSQI scores in observation group were significantly lower than those in control group,the differences were statistically significant(P<0.01).At review,the HADS-A and HSDS-D scores in two groups were lower than those at admission,and the HADS-A and HADS-D scores in observation group were lower than those in control group,the dif-ferences were statistically significant(P<0.05).At review,the scores of physiological function,emotional function,men-tal health and social function in two groups were higher than those at admission,and the scores of above items in observa-tion group were higher than those in control group,the differences were statistically significant(P<0.05).Conclusion Step-psychological intervention can effectively relieve pain,improve negative emotion,quality of life and sleep quality in patients with bone cancer.
关键词
阶梯式心理干预/骨癌/疼痛/负性情绪/生活质量Key words
step-psychological intervention/bone cancer/pain/negative emotion/quality of life引用本文复制引用
基金项目
河南省科技发展计划(2023)(232102310076)
出版年
2024
NETL
NSTL
万方数据