首页|规范化疼痛干预联合心理干预对急诊胃癌爆发痛患者负性情绪及疼痛程度的影响

规范化疼痛干预联合心理干预对急诊胃癌爆发痛患者负性情绪及疼痛程度的影响

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目的 探讨规范化疼痛干预联合心理干预对急诊胃癌爆发痛患者负性情绪及疼痛程度的影响.方法 根据干预方式的不同将92例急诊胃癌爆发痛患者分为对照组(n=41)和观察组(n=51),对照组患者接受常规疼痛干预,观察组患者在常规疼痛干预的基础上接受规范化疼痛干预联合心理干预.比较两组患者的负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、疼痛情况[视觉模拟评分法(VAS)、24h爆发痛发生次数]和依从性.结果 干预后,两组患者HAMA、HAMD、VAS评分均低于本组干预前,24 h爆发痛发生次数均少于本组干预前,观察组患者HAMA、HAMD、VAS评分均低于对照组,24 h爆发痛发生次数少于对照组,差异均有统计学意义(P<0.05).观察组患者的总依从率高于对照组,差异有统计学意义(P<0.05).结论 规范化疼痛干预联合心理干预能够改善急诊胃癌爆发痛患者的负性情绪和疼痛程度,提高依从性.
Effect of standardized pain intervention combined with psychological intervention on negative emotions and pain degree in emergency gastric cancer patients with breakthrough pain
Objective To explore the effect of standardized pain intervention combined with psychological interven-tion on negative emotions and pain degree in emergency gastric cancer patients with breakthrough pain.Method Accord-ing to different intervention methods,92 emergency gastric cancer patients with breakthrough pain were divided into con-trol group(n=41)and observation group(n=51).Patients in the control group received routine pain intervention,while pa-tients in the observation group received standardized pain intervention combined with psychological intervention on the basis of routine pain intervention.The negative emotions[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],pain situation[visual analogue scale(VAS),frequency of 24 h breakthrough pain frequency]and compliance of the two groups were compared.Result After intervention,the HAMA,HAMD,and VAS scores of both groups were lower than those before intervention,and the frequency of 24 h breakthrough pain were less than those before interven-tion,the HAMA,HAMD and VAS scores of the observation group were lower than those of the control group,and the fre-quency of 24 h breakthrough pain was less than that of the control group,and the differences were statistically significant(P<0.05).The total compliance rate of observation group was higher than that of control group,the difference was statisti-cally significant(P<0.05).Conclusion Standardized pain intervention combined with psychological intervention can im-prove the negative emotion and pain degree of emergency gastric cancer patients with breakthrough pain,and improve treatment compliance.

standardized pain interventionpsychological interventionbreakthrough pain of gastric cancernegative emotion

朱雪晴、张继明、李雁

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复旦大学附属华山医院静安分院急诊,上海 200040

复旦大学附属华山医院静安分院感染科,上海 200040

规范化疼痛干预 心理干预 胃癌爆发痛 负性情绪

上海市医学重点专科建设计划项目

ZK2019B24

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(16)