摘要
目的:探讨姑息性心理干预对转移性恶性骨肿瘤患者心理状态、疼痛情况和生命质量的影响。方法:将60例转移性恶性骨肿瘤患者随机分为观察组和对照组各30例;观察组接受姑息性心理干预,对照组接受常规护理干预;比较两组干预前后心理状态[采用简明心境量表(POMS)],疼痛程度[采用数字评分量表(NRS)]和癌性爆发痛发生情况,评价两组干预后生命质量。结果:干预后,观察组POMS量表中愤怒-敌意(AH)、迷惑-混乱(CB)、抑郁-沮丧(DD)、疲乏-迟钝(FI)、紧张-焦虑(TA)维度评分均低于对照组(P<0.05,P<0.01),精力-活力(VA)维度评分高于对照组(P<0.05);观察组NRS评分低于对照组(P<0.01),癌性爆发痛人均发生次数少于对照组(P<0.01);观察组生命质量各维度评分均高于对照组(P<0.01)。结论:姑息性心理干预能改善转移性恶性骨肿瘤患者心理状态,减轻疼痛,提高生命质量。
Objective:To explore the effect of palliative psychological intervention on psychological state,pain symptoms and quality of life among patients with metastatic malignant bone tumors.Methods:A total of 60 patients with metastatic malignant bone tumors were randomly divide into the observation group and the control group,with 30 cases in each group.The observation group received palliative psychological intervention and the control group received conventional nursing intervention.Before and after the intervention,the Concise Mood Scale(POMS)was used to compare the psychological status,and the digital score scale(NRS)was used to assess the pain level and the occurrence of cancerous outbreak pain,and evaluate the quality of life status in the two groups after the intervention.Results:The scores of anger-hostility(AH),confusion-chaos(CB),depression-depression(DD),fatigue-dullness(FI),and tension-anxiety(TA)dimensions in the observation group POMS scale were lower than those in the control group after the intervention(P<0.05,P<0.01),the energy-vigor(VA)score was higher than the control group(P<0.05).After the intervention,the NRS scores in the observation group were lower than those in the control group(P<0.01),and the average number of outbreak pains was less than that of the control group(P<0.01).The quality of life dimension scores in the observation group were higher than those in the control group(P<0.01).Conclusion:Palliative psychological intervention can improve the mental state of patients with metastatic malignant bone tumors,reduce pain,and improve quality of life.
作者
罗思斯
陈婷
杨艳
Luo Sisi;Chen Ting;Yang Yan(Xiehe Hospital Affiliated to Tongji Medical School,Huazhong University of Science and Technolgy,Wuhan Hubei 430022,China)
出处
《齐鲁护理杂志》
2021年第4期11-13,共3页
Journal of Qilu Nursing
关键词
姑息性心理干预
转移性恶性骨肿瘤
心理状态
疼痛
生命质量
Palliative psychological intervention
Metastatic malignant bone tumor
Mental state
Pain
Quality of life
