共情式干预对骨转移癌放疗患者疼痛程度、生活质量及心理状态的影响  

Effect of empathic intervention on pain degree,quality of life and psychological state of radiotherapy patients with bone metastatic carcinoma

作　　者：尚花娣[1] 杨爱红[2] 柳蒙 SHANG Huadi;YANG Aihong;LIU Meng(Department of Orthopedics,the Third Affiliated Hospital of Xinxiang Medical University,Xinxiang 453003,He’nan,China;Department of Oncology,the Third Affiliated Hospital of Xinxiang Medical University,Xinxiang 453003,He’nan,China;Department of Respiratory,the Third Affiliated Hospital of Xinxiang Medical University,Xinxiang 453003,He’nan,China)

机构地区：[1]新乡医学院第三附属医院骨科,河南新乡4530030 [2]新乡医学院第三附属医院肿瘤科,河南新乡4530030 [3]新乡医学院第三附属医院呼吸科,河南新乡4530030

出　　处：《癌症进展》2021年第14期1506-1509,共4页Oncology Progress

摘　　要：目的研究共情式干预对骨转移癌放疗患者疼痛程度、生活质量、心理状态的影响。方法将72例骨转移癌放疗患者按照随机数字表法分为对照组和观察组,每组36例。对照组采用常规干预,观察组在对照组基础上应用共情式干预。比较两组患者干预前后的疼痛程度、生活质量、心理状态的变化情况,统计两组患者的不良反应发生率。结果干预前,两组患者视觉模拟评分法(VAS)、世界卫生组织生活质量评分量表(WHOQOL-100)、焦虑自评量表(SAS)、抑郁自评量表(SDS)及Herth希望量表评分比较,差异均无统计学意义(P﹥0.05);干预后,观察组患者VAS评分明显低于对照组,WHOQOL-100评分明显高于对照组,SAS与SDS评分均明显低于对照组,Herth希望量表各维度评分及总分均明显高于对照组,差异均有统计学意义(P﹤0.01)。两组患者不良反应总发生率比较,差异无统计学意义(P﹥0.05)。结论共情式干预能够减轻骨转移癌放疗患者的疼痛程度,改善其心理状态,帮助患者提高希望水平,使患者的生活质量得到改善,且安全可行。Objective To investigate the effect of empathic intervention on the pain degree,quality of life,and psy-chological state of radiotherapy patients with bone metastatic carcinoma.Method A total of 72 patients with bone meta-static carcinoma by radiotherapy were randomly divided into control group and observation group,36 cases in each group.The control group received conventional intervention,and the observation group received empathic intervention on the basis of control group.The changes of pain degree,quality of life and psychological state before and after interven-tion were compared,and the incidence of adverse reactions was analyzed.Result Before intervention,there were no sig-nificant differences in scores of visual analog scale(VAS),World Health Organization quality of life scale(WHOQOL 100),self-rating anxiety scale(SAS),self-rating depression scale(SDS)and Herth hope scale between two groups(P>0.05).After intervention,the score of VAS in the observation group was significantly lower than that of the control group,the score of WHOQOL-100 in the observation group was significantly higher than that of the control group,the scores of SAS and SDS in the observation group were significantly lower than those of the control group,the scores of each item of Herth hope scale higher than those in the control group(P<0.01).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Empathic intervention can reduce the pain degree,im-prove the psychological state and quality of life for radiotherapy patients with bone metastatic carcinoma,which is safe and feasible.

关 键 词：骨转移癌 心理状态 疼痛程度 共情干预 

分 类 号：R738.1[医药卫生—肿瘤]