摘要
目的探讨内观疗法对消化道肿瘤癌痛患者自我效能感与生活质量的影响。方法将100例消化道肿瘤癌痛患者随机分为常规组和观察组各50例,常规组患者给予临床常规疼痛干预措施,观察组患者给予常规干预和内观疗法干预;采用视觉模拟评分法(VAS)、自我效能感和健康量表(SEH)、生活质量(QOL)量表评价两组患者干预前后疼痛、自我效能感和生活质量的差异。结果干预前,两组患者VAS评分比较,差异无统计学意义(P>0.05)。用药前,观察组患者VAS评分明显低于常规组,差异有统计学意义(P<0.01)。常规组患者中有31例应用镇痛药物,多于观察组患者的19例,差异有统计学意义(P<0.05)。用药患者中,用药后6 h两组患者VAS评分比较,差异无统计学意义(P>0.05);用药后12 h,观察组患者VAS评分明显低于常规组,差异有统计学意义(P<0.01)。干预前,两组患者SHE、QOL评分比较,差异均无统计学意义(P>0.05);干预后,常规组患者SEH、QOL各维度评分均明显低于观察组,差异均有统计学意义(P<0.01)。结论内观疗法能够有效提高消化道肿瘤癌痛患者的自我效能感,改善其生活质量,值得临床广泛应用。
Objective To explore the effect of vipassana on self-efficacy and quality of life (QOL) in patients with gastrointestinal cancer who were suffering from cancer pain. Method One hundred patients with gastrointestinal cancer and cancer pain were randomized into the conventional therapy group and observation group, with 50 patients in each, respectively, the conventional therapy group was given routine pain management, and the patients in observation group were managed with vipassana and routine pain management;visual analogue scale (VAS) for pain, self- efficacy and health (SEH), and QOL scale were applied to compare the differences regarding pain, self-efficacy and QOL before and after interventions between the two groups. Result Before intervention, the VAS scores in both groups were similar (P> 0.05). Before medication, the VAS in observation group was significantly lower compared with that in conventional therapy group, and the differences were of statistical significance (P<0.01). Thirty-one patients reported use of analgesics in conventional therapy group, while there were 19 cases in observation group, the difference was statistically significant (P< 0.05). Among those who had taken analgesics, the VAS in the two groups in 6 h after medication did not show any significant difference (P>0.05);while in 12 h after medication, the VAS in observation group was evidently lower than that in control group (P<0.01). Before intervention, the SEH and QOL scores were comparable between the two groups (P> 0.05), while the score for each domain of SEH and QOL in conventional therapy group was consistently lower compared with that in observation group, and the differences were of statistical significance (P<0.01). Conclusion Vipassana can effectively improve the self-efficacy of gastrointestinal cancer patients with cancer pain, and ameliorate their quality of life.
作者
高淑君
穆婷婷
李慧
马京京
朱文莉
王芙怡
郭洪霞
GAO Shujun;MU Tingting;LI Hui;MAJingjing;ZHU Wenli;WANG Fuyi;GUO Hongxia(Department of Medical Oncology, Chinese PLA General Hospital, Beijing 100853, China)
出处
《癌症进展》
2019年第8期979-981,992,共4页
Oncology Progress
关键词
内观疗法
消化道肿瘤
癌痛
自我效能感
生活质量
vipassana
gastrointestinal cancer
cancer pain
self-efficacy
quality of life
