止痛药联合认知干预对肝癌患者术后生活质量的影响

目的：探讨止痛药联合认知干预对肝癌患者手术后疼痛及康复过程的影响。方法肝癌手术后患者134例，随机分为对照组67例和干涉组67例，对照组实行传统疼痛控制，干涉组采用止痛药联合认知干预的疼痛管理，比较两组患者术后疼痛及康复过程的差异。结果干涉组疼痛评分为（1.9±0.9）分，低于对照组的（4.5±0.7）分（P〈0.05）；干涉组状态焦虑量表（SAI）和特质焦虑量表（TAI）评分为（35.8±4.7）分和（30.9±7.4）分，明显低于对照组（57.5±6.3）分和（59.5±3.7）分（P〈0.05）。结论肝癌患者术后实行止痛药联合认知干预能明显降低疼痛及焦虑程度，减少并发症发生率，提高住院满意度和舒适度。

ObjectiveTo investigate the influence and rehabilitation process in patients after the operation of liver cancer pain using the analgesic joint cognitive intervention.Methods134 cases of patients with liver cancer after surgery,were randomly divided into control group,67 cases of 67 cases and the intervention group,control group were treated with traditional pain control,the intervention group were treated with painkillerscombined with pain management of cognitive intervention,he difference of two groups of patients with postoperative pain and rehabilitation process were compared t. Results Intervention group for pain score（1.9±0.9）,（4.5±0.7）points lower than the control group（P〈0.05）;status anxiety scale（SAI）and trait anxiety inventory（TAI）score in intervention group were（35.8±4.7）and（30.9±7.4）,significantly lower than the control group（57.5±6.3）and （59.5±3.7）points（P〈0.05）.Conclusion Liver cancer patients with postoperative pain relievers combined with cognitive intervention can significantly reduce the pain and anxiety levels,reduce the incidence of complications,improve the satisfaction and comfort in hospital.