心理干预对提高重度癌痛患者治疗依从性、效果和生命质量的影响

Impact of psychological intervention on treatment compliance rate, clinical effect and quality of life in patients with advanced cancer pain

目的 观察临床心理干预对提高重度癌痛患者治疗依从性、效果和生命质量的影响.方法 选择伴有重度疼痛的晚期癌症患者80例,按顺序编码的密封信封法随机分为干预组和对照组各40例.全部患者给予常规的癌痛规范化治疗,干预组进行积极临床心理干预治疗,14d后对全部患者进行服药依从性、癌痛治疗效果和生命质量评价.结果 干预组患者的临床癌痛治疗有效率为95.0％（38/40）,高于对照组的80.0％（32/40）（P＜0.05）.干预组和对照组患者好的服药依从率分别为87.5％（35/40）和62.5％（25/40）（P＜0.01）,生命质量提高率分别为80.0％（32/40）和57.5％（23/40）（P＜0.05）.结论 临床心理干预可提高重度癌痛患者止痛治疗的依从性,提高临床癌痛治疗效果和患者生命质量.

Objective To observe the efficacy of psychological intervention on treatment compliance rate, clinical effect and quality of life in patients with advanced cancer pain.Methods Using a sealed envelope method, 80 patients with advanced cancer pain were randomly divided into two groups： the experimental group （EG） （40 cases） and the control group （CG） （40 cases）.All patients were treated with standardized cancer pain treatment, and the patients of EG were treated with positive psychological intervention.The treatment compliance rate, clinical effect and quality of life after intervention by 14 days between two groups were compared.Results In EG and CG, the clinical efficiencies of cancer pain were 95.0 % （38/40） and 80.0 % （32/40）, respectively （P 〈 0.05）.The treatment compliance rates were 87.5 % （35/40） and 62.5 % （25/40）, respectively （P 〈 0.01）, and the improvement rates of quality of life were 80.0 % （32/40） and 57.5 % （23/40）, respectively （P 〈 0.05）.Conclusion Psychological intervention is effective to improve the treatment compliance, clinical effect and quality of life for the patients with advanced cancer pain.