正念减压干预联合三阶梯止痛法对老年肺癌化疗患者疼痛程度、负性情绪及生活质量的影响  

Effect of mindfulness-based decompression intervention combined with threestep analgesia on pain degree,negative emotions and quality of life in elderly patients with lung cancer undergoing chemotherapy

作　　者：张起[1] 魏凯[1] 路静静 赵晶 史梦月 ZHANG Qi;WEI Kai;LU Jingjing;ZHAO Jing;SHI Mengyue(Cancer Center,He’nan Provincial People’s Hospital,Zhengzhou 450003,He’nan,China)

机构地区：[1]河南省人民医院肿瘤中心,郑州4500030

出　　处：《癌症进展》2024年第20期2247-2250,共4页Oncology Progress

基　　金：河南省二〇二四年科技发展计划项目(242102311108)。

摘　　要：目的探讨正念减压干预联合三阶梯止痛法对老年肺癌化疗患者疼痛程度、负性情绪及生活质量的影响。方法根据干预方式的不同将110例老年肺癌化疗患者分为观察组(54例,正念减压干预联合三阶梯止痛法)和对照组(56例,常规干预联合三阶梯止痛法)。比较两组患者的疼痛程度[视觉模拟评分法(VAS)]、负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]及满意度。结果干预后,两组患者VAS、SDS、SAS评分均低于本组干预前,EORTC QLQC30各维度评分均高于本组干预前,观察组患者VAS、SDS、SAS评分均低于对照组,观察组患者EORTC QLQC30各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的总满意度为100%,高于对照组患者的87.50%,差异有统计学意义(P﹤0.05)。结论正念减压干预联合三阶梯止痛法应用于老年肺癌化疗患者中,可以减轻癌痛程度,改善负性情绪,提高生活质量及满意度。Objective To investigate the effect of mindfulness-based decompression intervention combined with three-step analgesia on pain degree,negative emotions and quality of life in elderly patients with lung cancer undergoing chemotherapy.Method A total of 110 elderly patients with lung cancer who underwent chemotherapy were divided into observation group(54 cases,mindfulness-based decompression intervention combined with three-step analgesia)and control group(56 cases,routine intervention combined with three-step analgesia).The pain degree[visual analogue scale(VAS)],negative emotions[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)]and satisfaction between the two groups were compared.Result After intervention,the scores of VAS,SDS and SAS in both groups were lower than those before intervention,the dimensional scores of EORTC QLQ-C30 were higher than those before intervention,the scores of VAS,SDS and SAS in observation group were lower than those in control group,the dimensional scores of EORTC QLQ-C30 were higher than those in control group,and the differences were statistically significant(P<0.05).The total satisfaction rate in the observation group was 100%,which was higher than 87.50%in the control group,and the difference was statistically significant(P<0.05).Conclusion The mindfulness-based decompression intervention combined with three-step analgesia can alleviate cancer pain,improve negative emotions,quality of life and satisfaction in elderly patients with lung cancer undergoing chemotherapy.

关 键 词：肺癌 老年患者 三阶梯止痛法 正念减压干预 疼痛 负性情绪 

分 类 号：R734.2[医药卫生—肿瘤]