疼痛教育联合心理干预对晚期癌痛病人疼痛症状及睡眠质量影响  

Effects of Pain Education Combined with Psychological Intervention on Pain Symptoms and Sleep Quality for Patients with Advanced Cancer

作　　者：武永洁 WU Yongjie(The First Affiliated Hospital of Hebei North University ,Zhangjiakou 75000,Chin)

机构地区：[1]河北北方学院附属第一医院

出　　处：《中国健康心理学杂志》2018年第7期1002-1006,共5页China Journal of Health Psychology

摘　　要：目的：探讨疼痛教育联合心理干预对晚期癌痛病人疼痛症状、睡眠质量的影响。方法：选取晚期癌痛患者106例,随机分为对照组和观察组各53例,两组患者治疗时给予相同护理,观察组在此基础上给予疼痛教育并联合心理干预,分别在治疗前后采用数字评分法（NRS）及匹兹堡睡眠质量指数量表（PSQI）对两组患者疼痛症状及睡眠质量进行评价。结果：治疗前观察组和对照组NRS均分及爆发痛每日人均次数之间无统计学差异（P〉0.05）。治疗后观察组NRS均分、爆发痛每日人均次数较治疗前降低（t=15.37,9.14;P〈0.01）,且显著低于对照组（t=-4.25,-4.57;P〈0.01）。观察组疼痛缓解总有效率为90.5%,对照组为83.0%,观察组患者疼痛缓解效果优于对照组,差异有统计学意义（z=2.36,P=0.018）。治疗后观察组患者PSQI总分及睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、安眠药物、日间功能各因子得分较治疗前均明显降低（t=10.39,6.89,8.07,9.08,5.23,7.55,8.54,6.63;P〈0.01）,且低于对照组治疗后得分（t=-8.09,-6.43,-8.19,-8.22,-4.32,-6.78,-7.11,-6.70;P〈0.01）,提示治疗后观察组患者相对于对照组睡眠质量明显改善。结论：疼痛教育联合心理干预有助于疼痛的缓解,能有效减轻晚期癌痛病人疼痛症状,改善其睡眠质量,在临床上具有辅助治疗的作用。Objective：To explore the effect of pain education combined with psychological intervention on pain symptoms and sleep quality for patients with advanced cancer.Methods：A total of 106 cases of patients with advanced cancer were randomly divided into control group and observation group with 53 cases in each group,the two groups of patients were given the same basic care,the observation group patients were given pain education and psychological intervention on this basis.Numeric Rating Scale（NRS）and Pittsburgh Sleep Quality Index（PSQI）were used before and after treatment to evaluate the pain scores and sleep quality of the two groups.Results：There was no significant difference in NRS scores and Per capita number of out breaks pain between the two groups before treatment（P〉0.05）.After treatment,NRS scores and Per capita number of outbreaks pain of the observation group were lower than those before treatment（t=15.37,9.14;P〈0.01）,and significantly lower than those of the control group（t=-4.25,-4.57;P〈0.01）.The total effective rate of pain relief was 90.5%in the observation group and 83.0%in the control group.The pain relief effect of the observation group was better than that of the control group（z=2.36,P〈0.05）.After treatment,the scores of PSQI,sleep quality,sleep time,sleep time,sleep efficiency,sleep disturbance,sleeping drug and daytime function of the observation group were significantly lower than those before treatment（t=10.39,6.89,8.07,9.08,5.23,7.55,8.54,6.63;P〈0.01）,and the scores were lower than those in the control group（t=-8.09,-6.43,-8.19,-8.22,-4.32,-6.78,-7.11,-6.70;P 0.01）.Conclusion：Pain education combined with psychological intervention can effectively alleviate the pain of patients with advanced cancer and improve the quality of sleep.

关 键 词：心理干预 晚期癌痛病人 睡眠质量 疼痛 

分 类 号：R395.9[哲学宗教—心理学]