分散注意力与认知行为干预在癌痛规范化治疗中的效果研究

The effect of distraction and cognitive behavioral interventions in the treatment of cancer pain standardization treatment

目的探讨分散注意力与认知行为干预在癌痛规范化治疗中的临床效果。方法将符合纳入标准的68例癌痛患者分为观察组和对照组,每组34例。对照组采用常规护理与三阶梯镇痛疗法,观察组在对照组的基础上增加分散注意力与认知行为干预的护理方法。入院治疗1周后,对两组患者的癌痛控制效果、服用止痛药的方式、对止痛药的顾虑及生活质量评分进行比较分析。结果观察组的各项指标均优于对照组:(1)两组患者对使用止痛药的顾虑情况差异有统计学意义(P<0.05);(2)两组患者对止痛药的服用依从性差异有统计学意义(P<0.05);(3)治疗1周后两组患者的疼痛缓解程度差异有统计学意义(P<0.05);(4)护理干预后两组患者的生活质量评分均比干预前提高,但观察组提高更显著,组间差异有统计学意义(P<0.01)。结论分散注意力与认知行为干预能有效提高癌痛患者对服用止痛药的依从性,达到无痛睡眠、无痛休息、无痛活动状态,提高生活质量。

Objective To explore the clinical effect of distraction and cognitive behavioral interventions in the treatment of cancer pain standardization treatment. Methods 68 cancer pain patients meeting the inclusion criteria were divided into observation group and control group, 34 cases in each group. Patients in control group were treated with conventional nursing and three step analgesic therapy. Patients in observation group were treated with conventional nursing and three step analgesic therapy, and also nursing method of distracting attention and cognitive behavior intervention. Cancer pain control effect, the way of taking painkillers, painkillers concerns and the quality of life score were compared between the two groups after one week of treatment. Results All the indexes of the observation group were better than those of the control group.（1） There was statistical significance in the use of pain medication differences between the two groups（P〈0.05）.（2） There was statistical significance in medication compliance differences between the two groups（P〈0.05）.（3） There was significant difference in the degree of pain relief between the two groups after one week treatment（P〈0.05）.（4） After the nursing intervention, quality of life scores of the two groups were improved, but the observation group improved more significantly, the differences between the groups were statistically significant（P 0.01）. Conclusion Distraction and cognitive behavioral intervention could improve the compliance of patients with cancer pain medication, could achieve painless sleep, painless rest, painless activity, and could improve the quality of life.