智能化心身干预方案在中晚期癌症患者症状群管理中的应用研究  

Effects of intelligent psychosomatic intervention on symptom cluster management of patients with advanced cancer

作　　者：李育玲[1] 崔璨 李晓丽[3] 侯晓雅 Li Yuling;Cui Can;Li Xiaoli;Hou Xiaoya(Nursing Department,the First Hospital of Shanxi Medical University,Taiyuan 030001,China;School of Nursing,Shanxi Medical University,Taiyuan 030001,China;Department of Stomatology,the First Hospital of Shanxi Medical University,Taiyuan 030001,China;Oncology Department,the First Hospital of Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西医科大学第一医院护理部,太原030001 [2]山西医科大学护理学院,太原030001 [3]山西医科大学第一医院口腔科,太原030001 [4]山西医科大学第一医院肿瘤科,太原030001

出　　处：《中华现代护理杂志》2023年第4期482-487,共6页Chinese Journal of Modern Nursing

基　　金：中华医学会杂志社2021—2022年护理学科研究课题(CMAPH-NRD2021011)。

摘　　要：目的探讨基于认知行为疗法的智能化心身干预方案对中晚期癌症患者疼痛、疲乏、睡眠障碍症状群及不良情绪的影响。方法采用便利抽样法,选取2021年9—12月在山西省某三甲医院肿瘤科住院的77例中晚期癌症患者为研究对象,将其按照病区分为对照组(n=39)和试验组(n=38),对照组进行肿瘤疾病常规护理,试验组在常规护理的基础上进行智能化的心身干预。采用中文版简明疼痛评估量表(BPI-C)、中文版简明疲乏评估量表(BFI-C)、匹兹堡睡眠指数量表(PSQI)、广泛性焦虑障碍量表(GAD-7)以及患者健康抑郁问卷(PHQ-9)对两组患者干预前后的效果进行评价。结果干预后,两组患者疼痛得分比较差异无统计学意义(P>0.05),但试验组患者干预后疼痛得分与干预前相比下降,差异有统计学意义(P<0.05)。两组患者干预后疲乏得分均下降,与干预前相比差异有统计学意义(P<0.05),且干预后试验组疲乏得分低于对照组,差异有统计学意义(P<0.05)。干预后试验组患者睡眠、焦虑、抑郁得分均低于对照组,差异有统计学意义(P<0.05)。结论中晚期癌症患者症状群管理的智能化方案初步证明对患者的疼痛、疲乏、睡眠障碍症状群及心理情绪问题具有一定疗效,值得进一步研究和推广。Objective To explore the effect of intelligent psychosomatic intervention based on cognitive behavior therapy on pain,fatigue,sleep disorder symptom cluster and negative mood of patients with advanced cancer.Methods From September to December 2021,77 patients with intermediate and terminal cancer hospitalized in the Oncology Department of a ClassⅢGrade A hospital in Shanxi Province were selected as the study subject by convenient sampling.The patients were divided into control group(n=39)and test group(n=38)according to the wards.The control group received routine nursing of tumor diseases,while the test group received intelligent psychosomatic intervention on the basis of routine nursing.The Chinese version of Chinese Version of Brief Pain Inventory(BPI-C),Chinese Version of Brief Fatigue Inventory(BFI-C),Pittsburgh Sleep Quality Index(PSQI),7 item Generalized Anxiety Disorder(GAD-7)and Patient Health Questionnaire-9(PHQ-9)were used to evaluate the effects of the two groups before and after intervention.Results After intervention,there was no statistical difference in pain scores between the two groups(P>0.05),but the pain scores of patients in the test group decreased after intervention compared with those before intervention,with a statistical difference(P<0.05).After the intervention,the fatigue scores of patients in both groups decreased,with a statistically significant difference compared with that before the intervention(P<0.05),and after the intervention,the fatigue scores in the test group were lower than those in the control group,with a statistically significant difference(P<0.05).After intervention,the scores of sleep,anxiety and depression in the test group were lower than those in the control group,with statistically significant differences(P<0.05).Conclusions The intelligent symptom cluster management for patients with advanced cancer has preliminarily proved that it has certain effects on pain,fatigue,sleep disorder symptom clusters and psychological and emotional problems of patients,and is wor

关 键 词：肿瘤 认知行为疗法 智能化 症状群管理 

分 类 号：R473.73[医药卫生—护理学]