目的 探讨同质化疼痛管理联合积极心理暗示护理对食管癌放疗患者的影响.方法 方便选取2021年2月—2023年2月厦门医学院附属第二医院收治的62例食管癌放疗患者为研究对象,按随机数表法分为对照组和观察组,各31例.对照组采取常规护理,观察组采取同质化疼痛管理配合积极心理暗示护理,比较两组干预前后身体疼痛程度和心理痛苦程度,心理状态,患者对控制疼痛方法和护士疼痛宣教的满意度评分,自我效能感和生活质量.结果 护理干预后,观察组的视觉模拟量表(Visual Analog Scale,VAS)、心理痛苦温度计(Distress Thermometer,DT)评分均低于对照组,差异有统计学意义(P均<0.05);观察组焦虑自评量表(Self-rating Anxiety Scale,SAS)和抑郁自评量表(Self-Rating Depression Scale,SDS)评分低于对照组,差异有统计学意义(P均<0.05);观察组对控制疼痛方法满意度评分(92.36±3.25)分、护士疼痛宣教满意度评分(93.17±3.21)分高于对照组,差异有统计学意义(t=5.584、6.249,P均<0.05);观察组慢性疼痛自我效能感量表(Chronic Pain Self-Efficacy Scale,CPSS)、生活质量调查问卷(Quality of Life Questionnaire,QLQ-C30)评分均高于对照组,差异有统计学意义(P均<0.05).结论 同质化疼痛管理联合积极心理暗示护理应用于食管癌放疗患者中,可减轻其身体和心理的痛苦,改善其不良的心理状态,提高患者的满意度,有效提高自我效能感和生活质量.
Study on the Impact of Homogeneous Pain Management Combined with Positive Psychological Suggestion Nursing on Patients Undergoing Radio-therapy for Esophageal Cancer
Objective To explore the effect of homogeneous pain management combined with positive psychological suggestion nursing on patients undergoing radiotherapy for esophageal cancer.Methods 62 patients with esophageal cancer radiotherapy admitted to the Second Affiliated Hospital of Xiamen Medical College from February 2021 to Feb-ruary 2023 were conveniently selected as the study objects.The random number table method was used as the group-ing plan and divided into control group and observation group,with 31 cases each.The control group adopted the rou-tine nursing and the obervation group adopted homogeneous pain management combined with positive psychological suggestion nursing.Compared the physical pain and psychological pain,the psychological state,the patient's satisfac-tion score with pain control methods and nurses'pain education,the self-efficacy and quality of life between the two groups before and after the intervention.Results After nursing intervention,the visual analog scale(VAS)and psycho-logical pain thermometer(DT)scores of the patients in the observation group were lower than those in the control group,and the differences were statistically significant(both P<0.05).The scores of Self-rating Anxiety Scale(SAS)and the Self-Rating Depression Scale(SDS)of patients in the observation group were lower than those in the control group,and the differences were statistically significant(both P<0.05).The observation group's satisfaction score for pain control methods(92.36±3.25)points and satisfaction score for nurses'pain education(93.17±3.21)points were higher than those of the control group,and the differences were statistically significant(t=5.584,6.249,both P<0.05).The Chronic Pain Self-Efficacy Scale(CPSS)and Quality of Life Questionnaire(QLQ-C30)scores of patients in the observation group were higher than those in the control group,and the differences were statistically significant(both P<0.05).Conclusion The application of homogeneous pain management combined with positive psychological sugges-tion nursing in patients undergoing radiotherapy for esophageal cancer can reduce their physical and psychological pain,improve their negative mental state,improve patient satisfaction,and effectively improve self-efficacy and qual-ity of life.
Homogeneous pain managementPositive psychological suggestion nursingEsophageal cancer radiotherapyPsychological stateSelf-efficacyQuality of life
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维普
