术前心理疏导结合疼痛管理对肝癌患者造影灌注栓塞术后疼痛及睡眠质量的影响  

Effects of Preoperative Psychological Counseling Combined with Pain Management on Pain and Sleep in Patients with Liver Cancer after Angiographic Perfusion Embolization

作　　者：刘汝珍 LIU Ruzhen(Interventional Catheter Room,Leizhou People's Hospital,Zhanjiang Guangdong 524200)

机构地区：[1]雷州人民医院导管室,广东湛江524200

出　　处：《智慧健康》2023年第31期119-122,共4页Smart Healthcare

摘　　要：目的探讨术前心理疏导结合疼痛管理对肝癌患者造影灌注栓塞术后疼痛及睡眠质量的影响。方法选取2021年1月—2023年4月在本院收治行造影灌注栓塞术治疗肝癌患者50例进行研究,按随机数字表法分为对照组及观察组,每组25例。对照组采用常规护理干预,观察组在对照组基础上施以术前心理疏导结合疼痛管理,比较两组疼痛状况、心理状态、睡眠及生活质量。结果观察组疼痛状况优于对照组(P<0.05);两组护理前HAMA、HAMD评分比较,差异无统计学意义(P>0.05),经护理,两组HAMA、HAMD评分均有降低,观察组低于对照组(P<0.05);两组护理前PSQI、FACT-Hep评分比较,差异无统计学意义(P>0.05),经护理,两组PSQI评分均有下降,FACT-Hep评分则见上升,观察组PSQI评分低于对照组,FACT-Hep评分高于对照组(P<0.05)。结论行造影灌注栓塞术治疗肝癌患者应用术前心理疏导结合疼痛管理,可减轻疼痛状况,改善负性心理状态,并提升睡眠及生活质量。Objective To investigate the effects of preoperative psychological counseling combined with pain management on pain and sleep quality in patients with liver cancer after angiographic perfusion embolization.Methods Fifty patients with liver cancer treated by angiography perfusion embolization in our hospital from January 2021 to April 2023 were studied.They were divided into control group and observation group according to random number table method.Routine nursing intervention was given to the control group.Results The pain status of the observation group was better than that of the control group(P<0.05);There was no significant difference in HAMA and HAMD scores between the two groups before nursing(P>0.05).After nursing,HAMA and HAMD scores of the two groups were decreased,and the observation group was lower than the control group(P<0.05);Comparison of PSQI and FACT-Hep scores before nursing between the two groups showed no statistical significance(P>0.05).After nursing,PSQI scores of both groups decreased,while FACT-Hep scores increased.PSQI scores of the observation group were lower than those of the control group,and FACT-Hep scores were higher than those of the control group(P<0.05).Conclusion Preoperative psychological counseling combined with pain management can alleviate pain,improve negative psychological state,and improve sleep and quality of life in patients with liver cancer treated by angiographic perfusion embolization.

关 键 词：肝癌 造影灌注栓塞术 心理疏导 疼痛管理 

分 类 号：R473.73[医药卫生—护理学]