首页|无痛理念联合认知行为干预对早期胃癌手术患者术后疼痛及心理状态的影响

无痛理念联合认知行为干预对早期胃癌手术患者术后疼痛及心理状态的影响

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目的:探讨无痛理念联合认知行为干预对早期胃癌手术患者术后疼痛及心理状态的影响,为临床护理提供依据.方法:选取2019年4月—2022年4月上饶市立医院收治的行手术治疗的86例早期胃癌患者作为研究对象,采用随机抽样法将其分为对照组与观察组,每组各43例.对照组采用常规护理干预,观察组实施无痛理念联合认知行为护理干预.比较两组患者干预前后疼痛程度[数字疼痛分级法(NRIS)评分]、睡眠质量[匹兹堡睡眠质量指数量表(PSQI)评分]、心理状态[正性负性情绪量表(PANAS)评分]、生活质量[胃癌生存质量评价表(QLICP-ST)评分]及护理满意度情况.结果:干预后,观察组患者NRIS、PSQI评分均低于对照组,差异均有统计学意义(t=2.410、2.480,P<0.05).干预后,观察组患者PANAS负性情绪评分低于对照组,PANAS正性情绪评分及QLICP-ST评分均高于对照组,差异均有统计学意义(t=2.334、2.311、2.329,P<0.05).干预后,观察组患者总护理满意度明显高于对照组,差异有统计学意义(χ2=4.468,P<0.05).结论:无痛理念联合认知行为干预能够有效减轻早期胃癌术后患者的疼痛程度,改善其睡眠质量及心理状态,提高生活质量水平,进而获得更高的护理满意度.
Effect of Painless Concept Combined with Cognitive Behavior Intervention on Postoperative Pain and Mental Status of Patients with Early Gastric Cancer
Objective:To probe into the influence of painless concept combined with cognitive behavior intervention on postoperative pain and mental state of patients with early gastric cancer,so as to provide basis for clinical nursing.Methods:86 patients with early gastric cancer who underwent surgical treatment in Shangrao Municipal Hospital from April 2019 to April 2022 were selected,and randomly divided into control group and observation group.There were 43 cases in each group.The control group was given routine nursing intervention,and the observation group was given painless idea combined with cognitive behavior nursing intervention.Before and after the intervention,the pain degree(NRIS),sleep quality(PSQI),psychological status(PANAS),quality of life(QLICP-ST)and nursing satisfaction were compared between the two groups.Results:After intervention,the scores of NRIS and PSQI in the observation group were significantly lower than those in the control group(t=2.410,2.480;P<0.05).After intervention,the scores of PANAS Negative Emotion,PANAS positive emotion and QLICP-ST in the observation group were significantly higher than those in the control group(t=2.334,2.311,2.329;P<0.05).After intervention,the satisfaction degree of patients in the observation group was significantly higher than that in the control group(χ2=4.468,P<0.05).Conclusion:The combination of painless concept and cognitive behavior intervention can effectively reduce the degree of pain,improve the quality of sleep and psychological status,improve the quality of life,and then obtain higher satisfaction in nursing.

Painless conceptCognitive behavioral interventionEarly gastric cancerPostoperative painPsychological status

杨静雯

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上饶市立医院外科,江西 上饶 334000

无痛理念 认知行为干预 早期胃癌 术后疼痛 心理状态

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(12)
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