心身疗法对妇科恶性肿瘤患者疼痛控制效果的影响  

Effect of psychosomatic therapy on pain control in patients with gynecological malignant tumor

作　　者：郑丽平 曹国芬[1] 徐冶[1] 

机构地区：[1]哈尔滨医科大学附属肿瘤医院妇一科,150040

出　　处：《中国实用护理杂志》2017年第35期2721-2725,共5页Chinese Journal of Practical Nursing

基　　金：黑龙江省卫生计生委科研课题（2014-360）

摘　　要：目的探讨心身疗法在妇科恶性肿瘤患者疼痛管理中的效果，为提高妇科恶性肿瘤患者的疼痛管理质量提供理论依据。方法选择妇科恶性肿瘤患者156例为研究对象，其中2015年8-11月入住的81例患者设为对照组，2015年12月至2016年3月入住的75例患者设为干预组。对照组接受病区常规护理，干预组在接受常规护理基础上采取放松疗法、意象引导、音乐疗法、个性化心理疏导为主的心身疗法，比较2组患者疼痛评价指标情况。结果干预组患者轻度、中度、重度疼痛分别为56、19、0例，对照组分别为37、41、3例，2组比较差异有统计学意义（Z=5.751，P〈0.05）。干预组患者癌性疼痛缓解无效、轻度缓解、明显缓解、完全缓解分别为8、14、25、28例，对照组分别为18、27、21、15例，2组比较差异有统计学意义（Z=2.081，P〈0.05）。干预组患者疼痛对睡眠影响程度（4.96 ± 1.26）分，低于对照组的（5.72 ± 1.32）分，差异有统计学意义（t=3.638，P〈0.05）。干预组患者疼痛控制满意度（3.39 ± 1.15）分，高于对照组的（2.94 ±0.74）分，差异有统计学意义（t=2.931，P〈0.05）。干预组患者应用1种药物控痛方案者占81.33%（61/75），高于对照组的64.20%（52/81），差异有统计学意义（χ^2=5.727，P〈0.05）。结论心身疗法可以有效缓解妇科恶性肿瘤患者的疼痛，为临床癌性疼痛患者的管理提供参考依据。ObjectiveTo explore the effect of psychosomatic therapy on pain management in patients with gynecological malignant tumor, and to provide theoretical basis for improving the quality of pain management.MethodsA total of 156 patients with gynecological malignant tumors were selected and 75 cases from August to November in 2015 were as the control group and 75 cases from December 2015 to March 2016 were as the intervention group. The control group received routine care in the wards, and the intervention group received psychosomatic therapy based on relaxation, image guidance, music therapy and personalized psychological counseling on the basis of routine nursing. The pain evaluation indexes of the two groups were compared.ResultsThe number of the mild, moderate and severe pain in the intervention group were 56, 19, and 0, respectively, and 37, 41 and 3 in the control group, respectively. The difference between the 2 groups was statistically significant （Z=5.751, P〈0.05）. The number of the invalid, mild, obvious, complete remission of patients with cancer pain in the intervention group were 8, 14, 25, 28, respectively, and 18, 27, 21, 15 in the control group, respectively. The difference between the 2 groups was statistically significant （Z=2.081, P〈0.05）. The influence degree of pain on sleep was （4.96 ± 1.26） points in the intervention group and （5.72 ± 1.32） points in the control group, the difference was statistically significant （t=3.638, P〈0.05）. The satisfaction degree of pain control was （3.39 ± 1.15） points in the intervention group and （2.94 ± 0.74） points in the control group, and the difference was statistically significant （t=2.931, P〈0.05）. In the intervention group, 81.33% （61/75） of one drug controlled pain program was used, which was higher than 64.20% （52/81） of the control group （χ2=5.727, P〈0.05）.ConclusionsPsychosomatic therapy can effectively relieve the pain of patients with gynecologic malignant tumor, and has guiding significance for

关 键 词：心身疗法 生殖器肿瘤 女(雌性) 护理 疼痛管理 

分 类 号：R473.73[医药卫生—护理学]