心理痛苦温度计及心理干预在口腔颌面部肿瘤病人中的应用

Application of psychological pain thermometer and psychological intervention for patients with oral and maxillofacial tumor

[目的]应用美国国立综合癌症网推荐的心理痛苦温度计对口腔颌面部肿瘤病人进行心理痛苦筛查,了解口腔颌面部肿瘤病人心理痛苦的现状及其相关因素,并评价口腔颌面部肿瘤病人心理干预效果。[方法]使用心理痛苦温度计对150例口腔颌面肿瘤病人进行问卷调查并给予心理干预。[结果]干预前心理痛苦得分为4.42分±1.98分,中度以上痛苦病人占58.67%。外表、口腔疼痛、功能受限是影响病人心理痛苦的3个最常见问题。轻、中度颜面改变病人、60岁以上和以下病人的心理痛苦得分比较差异有统计学意义(均P<0.05)。干预后中度以上痛苦病人比例明显下降,心理痛苦得分明显减低(均P<0.05)。[结论]心理痛苦温度计能及时发现口腔颌面部肿瘤病人心理痛苦的程度及原因,为临床医护人员进行个体化的心理干预提供依据,对口腔颌面部肿瘤病人进行心理干预,可以减轻病人心理痛苦。

Objective：To understand the status quo of psychological distress and its related factors of patients with oral and maxillofacial tumor by using psychological distress thermometer recommended by American national comprehensive cancer network to screen mental suffering,and to evaluate the effect of psychological intervention for patients with oral cavity tumor.Methods：The psychological distress thermometer was used for questionnaire and psychological intervention for 150 patients with oral and maxillofacial tumor. Results：Psychological distress score was 4.42±1.98.More than moderate suffering patients accounted for 58.67%.Appearance,mouth pain and functional limitation were the most common problems affecting patients’psychological pain.There were statistically significant differences in psychological distress score between patients with light and moderate facial changes,and between patients with 60 years old above and below（P〈0.05）.After the intervention,the proportion of patients with moderate to severe pain decreased significantly,and psychological pain score was significantly lower（P〈0.05）. Conclusion：Psychological distress thermometer can find out the extent and causes of psychological distress of patients with oral and maxillofacial tumor, and provide evidences for clinical medical personnel carrying out individualized psychological intervention.And it can alleviate the psychological distress to use psychological intervention for patients with oral and maxillofacial tumors.