阶梯式心理干预对骨癌患者疼痛、负性情绪及生活质量的影响  

Effect of step-psychological intervention on pain,negative emotion and quality of life in patients with bone cancer

作　　者：邓莹[1] 张俊娟[1] 潘卫宇[1] 王俊杰[1] 刘云可 DENG Ying;ZHANG Junjuan;PAN Weiyu;WANG Junjie;LIU Yunke(Department of Orthopedics,He’nan Provincial People’sHospital,Zhengzhou 450003,He’nan,China)

机构地区：[1]河南省人民医院骨科,郑州4500030

出　　处：《癌症进展》2024年第6期640-643,共4页Oncology Progress

基　　金：河南省二〇二三年科技发展计划项目(232102310076)。

摘　　要：目的 探讨阶梯式心理干预对骨癌患者疼痛、负性情绪及生活质量的影响。方法 将120例骨癌患者按干预方法的不同分为观察组(n=60)和对照组(n=60)。两组患者均接受常规治疗,观察组在对照组的基础上加用阶梯式心理干预。比较两组患者数字分级评分法(NRS)、医院焦虑抑郁量表(HADS)、健康调查简表(SF-36)、匹兹堡睡眠质量指数(PSQI)评分。结果 复查时,观察组患者NRS、PSQI评分均明显低于对照组,差异均有统计学意义(P﹤0.01)。复查时,两组患者HADS-A和HADS-D评分均低于入院时,观察组患者HADS-A和HADS-D评分均低于对照组,差异均有统计学意义(P﹤0.05)。复查时,两组患者生理功能、情感职能、精神健康、社会功能评分均高于本组入院时,观察组患者生理功能、情感职能、精神健康、社会功能评分均高于对照组,差异均有统计学意义(P﹤0.05)。结论 阶梯式心理干预能有效缓解骨癌患者疼痛,改善负性情绪,提高生活质量与睡眠质量。Objective To investigate the effect of step-psychological intervention on pain,negative emotion and qual-ity of life in patients with bone cancer.Method A total of 120 patients with bone cancer were divided into observation group(n=60)and control group(n=60)according to different intervention methods.Both groups of patients received con-ventional treatment,observation group received step-psychological intervention on the basis of the control group.The scores of numerical rating scale(NRS),hospital anxiety and depression scale(HADS),the MOS 36-item short form health survey(SF-36)and Pittsburgh sleep quality index(PSQI)were compared between the two groups.Result At re-view,NRS and PSQI scores in observation group were significantly lower than those in control group,the differences were statistically significant(P<0.01).At review,the HADS-A and HSDS-D scores in two groups were lower than those at admission,and the HADS-A and HADS-D scores in observation group were lower than those in control group,the dif-ferences were statistically significant(P<0.05).At review,the scores of physiological function,emotional function,men-tal health and social function in two groups were higher than those at admission,and the scores of above items in observa-tion group were higher than those in control group,the differences were statistically significant(P<0.05).Conclusion Step-psychological intervention can effectively relieve pain,improve negative emotion,quality of life and sleep quality in patients with bone cancer.

关 键 词：阶梯式心理干预 骨癌 疼痛 负性情绪 生活质量 

分 类 号：R738.1[医药卫生—肿瘤]