认知行为疗法对癌痛患者疼痛程度的影响  

The Influence of the Cognitive Behavior Therapy for Cancer Pain

作　　者：刘胜利[1] 杨霞[1] 舒艳[1] 

机构地区：[1]四川省资阳市人民医院,四川资阳641399

出　　处：《中国医学创新》2015年第14期92-95,共4页Medical Innovation of China

摘　　要：目的:探讨认知行为疗法对癌症患者疼痛程度的影响。方法:选取72例重度癌痛患者作为研究对象,随机分为观察组42例和对照组30例,应用数字评分法(NRS)和/或主诉评分法(VRS)评估患者疼痛程度。两组患者均按癌痛规范化治疗予以镇痛药物,观察组同时实施认知行为疗法,比较两组患者癌痛程度改善情况。结果:观察组3 d内癌痛达标率为80.95%,对照组为50.00%,两组比较差异具有统计学意义(P<0.001)。结论:认知行为疗法旨在改善患者的不合理信念,从主观上改变患者对自身疾病及疼痛的认知,从而减轻疼痛,提高癌痛治疗有效率。Objective：To explore the influence of the cognitive behavior therapy（CBT） for cancer pain. Method：72 patients including with cancer pain were inrolled in the study, and divided into 42 cases and 30 controls. The CBT was conducted on the 42 cases, but not the controls.The numeric rating scale （NRS） and/or verbal rating scale （VRS） were used to determine the severity of cancer pain.Result：After the intervention of CBT,the cases’ pain was obviously relieved,and the effective rate of the cases was 80.95% in three days, otherwise,the controls was 50.00%. Conclusion：CBT aims to change the patients’ irrational beliefs, to improve the cognitions of the disease and cancer pain subjectively. So it can relive the pain apparently,and improve the cancer pain treatment efficiency.

关 键 词：认知行为疗法 癌痛 

分 类 号：R473.73[医药卫生—护理学]