基于无痛理念的认知行为干预对鼻腔-鼻窦恶性肿瘤患者疼痛程度、负性情绪和满意度的影响  

Effect of cognitive behavioral intervention based on painless concept on pain level,negative emotion,and satisfaction in patients with nasal cavity and sinuses malignant tumors

作　　者：胡佩瑞 叶琳[1] 刘蕾[1] HU Peirui;YE Lin;LIU Lei(Department of Rhinology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院鼻科,郑州4500000

出　　处：《癌症进展》2024年第20期2251-2254,共4页Oncology Progress

摘　　要：目的探讨基于无痛理念的认知行为干预对鼻腔-鼻窦恶性肿瘤患者疼痛程度、负性情绪和满意度的影响。方法选取95例鼻腔-鼻窦恶性肿瘤患者,将2021年3月至2022年9月接受常规干预的47例患者纳入对照组,2022年10月至2024年3月接受基于无痛理念的认知行为干预的48例患者纳入观察组。比较两组患者的疼痛程度[数字分级评分法(NRS)]、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]和满意度。结果术后第3、7天,两组患者的NRS评分均低于本组干预前,差异均有统计学意义(P﹤0.05);术后第1、3天,观察组患者的NRS评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SAS、SDS评分均低于本组干预前,观察组患者SAS、SDS评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,观察组患者的总满意度为97.92%,明显高于对照组患者的80.85%,差异有统计学意义(P﹤0.01)。结论基于无痛理念的认知行为干预能够有效减轻鼻腔-鼻窦恶性肿瘤患者的疼痛程度,缓解负性情绪,引导其积极应对疾病,从而提高患者的满意度。Objective To explore the effect of cognitive behavioral intervention based on painless concept on pain level,negative emotions,and satisfaction in patients with nasal cavity and sinuses malignant tumors.Method A total of 95 patients with nasal cavity and sinuses malignant tumors were selected,47 patients who received routine intervention from March 2021 to September 2022 were included in the control group,and 48 patients who received cognitive behavioral intervention based on painless concept from October 2022 to March 2024 were included in the observation group.The pain level[numerical rating scale(NRS)],negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],and satisfaction were compared between the two groups.Result On 3,and 7 days after surgery,the NRS scores of both groups were lower than those before intervention,and the differences were statistically significant(P<0.05).On the 1,3 days after surgery,the NRS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the SAS and SDS scores of both groups were lower than those before intervention,the SAS and SDS scores in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).After intervention,the overall satisfaction rate in observation group was 97.92%,which was significantly higher than 80.85%in control group,and the difference was statistically significant(P<0.01).Conclusion Cognitive behavioral intervention based on painless concept can effectively alleviate pain levels and negative emotions in patients with nasal cavity and sinuses malignant tumors,guide them to actively respond to the disease,and thus improve the satisfaction.

关 键 词：基于无痛理念的认知行为干预 鼻腔-鼻窦恶性肿瘤 疼痛程度 负性情绪 

分 类 号：R739.62[医药卫生—肿瘤]