基于无痛理念的认知行为干预对腹腔镜宫颈癌手术患者术后疼痛、生活质量和满意度的影响  

Effect of cognitive behavioral intervention based on painless concept on postoperative pain,quality of life,and satisfaction of patients with cervical cancer undergoing laparoscopic surgery

作　　者：李莹[1] 杨柳[1] 甄晓钰 LI Ying;YANG Liu;ZHEN Xiaoyu(Integrated Chinese and Western Medicine Ward,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中西医结合病区,郑州450000

出　　处：《癌症进展》2024年第21期2412-2416,共5页Oncology Progress

摘　　要：目的 探讨基于无痛理念的认知行为干预对腹腔镜宫颈癌手术患者术后疼痛、生活质量和满意度的影响。方法 依据干预方式的不同将76例腹腔镜宫颈癌手术患者分为对照组(n=36,常规干预)和观察组(n=40,常规干预+基于无痛理念的认知行为干预)。比较两组患者的疼痛程度[数字分级评分法(NRS)]、睡眠质量[匹兹堡睡眠质量指数(PSQI)]、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)]、满意度和并发症发生情况。结果 干预后,观察组患者疼痛程度明显轻于对照组,差异有统计学意义(P﹤0.01)。干预后,两组患者PSQI各维度评分和总分均低于本组干预前,EORTC QLQ-C30各维度评分均高于本组干预前,观察组患者PSQI各维度评分和总分均低于对照组,EORTC QLQ-C30各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者日常环境、患者沟通、护理制度、护理质量评分均高于本组干预前,观察组患者日常环境、患者沟通、护理制度、护理质量评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的并发症总发生率为7.50%,低于对照组患者的25.00%,差异有统计学意义(P﹤0.05)。结论 基于无痛理念的认知行为干预可有效缓解腹腔镜宫颈癌手术患者的术后疼痛程度,改善睡眠质量,提高生活质量及护理满意度。Objective To analyze the effect of cognitive behavioral intervention based on painless concept on postoperative pain,quality of life,and satisfaction of patients with cervical cancer undergoing laparoscopic surgery.Method According to different intervention methods,76 cervical cancer patients who underwent laparoscopic surgery were divided into control group(n=36,conventional intervention)and observation group(n=40,conventional intervention+cognitive behavioral intervention based on painless concept).The pain level[numerical rating scale(NRS)],sleep quality[Pittsburgh sleep quality index(PSQI)],quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)],satisfaction,and incidence of complications were compared between the two groups.Result After intervention,the pain level of the observation group was significantly milder than that of the control group,and the difference was statistically significant(P<0.01).After intervention,the dimensional scores and total scores of PSQI of both groups were lower than those before intervention,and the dimensional scores of EORTC QLQ-C30 were higher than those before intervention,the dimensional scores and total score of PSQI of the observation group were lower than those of the control group,and the dimensional scores of EORTC QLQ-C30 were higher than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the daily environment,patient communication,nursing system,and nursing quality scores of both groups were higher than those before intervention,the daily environment,patient communication,nursing system,and nursing quality scores in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was 7.50%,which was lower than 25.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Cognitive behavioral interv

关 键 词：基于无痛理念的认知行为干预 宫颈癌 疼痛程度 生活质量 

分 类 号：R737.33[医药卫生—肿瘤]