摘要
目的探讨阶段性心理干预在肝癌介入栓塞术治疗中的应用效果及对患者疼痛和生活质量的影响。方法选取2020年12月至2021年12月行肝癌介入栓塞术治疗的60例原发性肝癌患者作为研究对象,按随机数字表法将其分为对照组和观察组,各30例。对照组给予常规护理,观察组在对照组基础上给予阶段性心理干预。比较两组的干预效果。结果干预后,两组的焦虑自评量表(SAS)、抑郁自评量表(SDS)、视觉模拟疼痛评分(VAS)及Piper疲乏自评量表(PFS)评分均显著降低,且观察组低于对照组(P<0.05)。干预后,两组的CD4^(+)、CD4^(+)/CD8^(+)均升高,CD8^(+)均降低,且观察组优于对照组(P<0.05)。干预后,两组的生活质量综合评定问卷(GQOLI-74)各维度评分均升高,且观察组高于对照组(P<0.05)。结论肝癌介入栓塞术治疗过程中辅以阶段性心理干预,可明显提高患者的负性情绪控制效果,更好地缓解疼痛,减少癌性疲乏现象,减轻心理应激,改善免疫功能及生活质量。
Objective To explore the application effect of staged psychological intervention in interventional embolization of liver cancer and its influences on pain and quality of life of patients.Methods A total of 60 patients with primary liver cancer who underwent interventional embolization of liver cancer from December 2020 to December 2021 were selected as the research objects.According to the random number table method,the patients were divided into control group and observation group,with 30 cases in each group.The control group was given routine nursing,and the observation group was given staged psychological intervention on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Visual Analogue Score(VAS)and Piper Fatigue Scale(PFS)in the two groups significantly decreased,and those in the observation group were lower than the control group(P<0.05).After intervention,the CD4^(+) and CD4^(+)/CD8^(+) in the two groups increased,the CD8^(+) decreased,and those in the observation group were better than the control group(P<0.05).After intervention,the scores of each dimension of Generic Quality of Life Inventor-74(GQOLI-74)in the two groups increased,and those in the observation group were higher than the control group(P<0.05).Conclusion Staged psychological intervention during interventional embolization of liver cancer can significantly improve the negative emotional control effect of patients,better relieve pain,reduce cancer fatigue and psychological stress,and improve immune function and quality of life.
作者
王珊
蔡瑜
邓丽娟
WANG Shan;CAI Yu;DENG Lijuan(People's Hospital of Tongchuan,Tongchuan 727000;Xi'an Medical University,Xi'an 710021,China)
出处
《临床医学研究与实践》
2024年第14期128-131,共4页
Clinical Research and Practice
基金
陕西省教育厅专项科研计划项目(No.20JK0887)。
关键词
阶段性心理干预
肝癌介入栓塞术
生活质量
staged psychological intervention
interventional embolization of liver cancer
quality of life
