首页|赋能心理指导联合疼痛干预对肝癌介入治疗患者疼痛及负性情绪的影响

赋能心理指导联合疼痛干预对肝癌介入治疗患者疼痛及负性情绪的影响

Effects of empowering psychological guidance combined with pain intervention on pain and negative emotions in patients with liver cancer undergoing interventional therapy

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目的 探讨赋能心理指导联合疼痛干预对肝癌介入治疗患者疼痛及负性情绪的影响.方法 根据干预方式的不同将109例肝癌介入治疗患者分为观察组(n=54,赋能心理指导联合疼痛干预)和对照组(n=55,常规干预).比较两组患者的疼痛程度(麦吉尔疼痛问卷)、负性情绪[汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)]、并发症发生情况及满意度.结果 干预2周后,两组患者视觉模拟评分法(VAS)、疼痛评级指数(PRI)、现有疼痛强度(PPI)评分均低于本组干预前,观察组患者VAS、PRI、PPI评分均低于对照组,差异均有统计学意义(P﹤0.05).干预2周后,两组患者HAMD、HAMA评分均低于本组干预前,观察组患者HAMD、HAMA评分均低于对照组,差异均有统计学意义(P﹤0.05).观察组患者的并发症总发生率低于对照组,总满意度高于对照组,差异均有统计学意义(P﹤0.05).结论 赋能心理指导联合疼痛干预可减轻肝癌介入治疗患者的疼痛程度,改善负性情绪,降低并发症发生率,提高满意度.
Objective To investigate the effects of empowering psychological guidance combined with pain interven-tion on pain and negative emotions in patients with liver cancer undergoing interventional therapy.Method According to different intervention methods,109 patients with liver cancer who underwent interventional therapy were divided into observation group(n=54,empowering psychological guidance combined with pain intervention)and control group(n=55,conventional intervention).The degree of pain(McGill pain questionnaire),negative emotions[Hamilton depression scale(HAMD),Hamilton anxiety scale(HAMA)],complications and satisfaction were compared between the two groups.Result After 2 weeks of intervention,the visual analogue scale(VAS),pain rating index(PRI)and present pain intensity(PPI)scores in both groups were lower than those before intervention,and the VAS,PRI and PPI scores in obser-vation group were lower than those in control group,and the differences were statistically significant(P<0.05).After 2 weeks of intervention,the HAMD and HAMA scores in both groups were lower than those before intervention,and the HAMD and HAMA scores in observation group were lower than those in control group,the differences were statistically significant(P<0.05).The total incidence of complications in observation group was lower than that in control group,and the total satisfaction rate was higher than that in control group,the differences were statistically significant(P<0.05).Con-clusion Empowering psychological guidance combined with pain intervention can reduce the pain degree of patients with liver cancer undergoing interventional therapy,improve negative emotions,reduce the incidence of complications,and improve satisfaction.

liver cancerinterventional therapyempowering psychological guidancepain interventionnegative emotioncomplication

李晓、李娟、周纪妹

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郑州大学第一附属医院介入手术室,郑州 450000

肝癌 介入治疗 赋能心理指导 疼痛干预 负性情绪 并发症

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(22)