心理干预对骨肿瘤疼痛患者的疼痛、焦虑抑郁及生活质量的影响

Effect of psychological intervention on pain, anxiety, depression and quality of life in patients with bone tumor

目的探讨心理干预对骨肿瘤疼痛患者的疼痛、焦虑抑郁及生活质量的影响。方法选取100例接受常规护理及心理干预的骨肿瘤疼痛患者,评估患者干预前后的疼痛程度及焦虑抑郁、生活质量。结果干预前患者以中度疼痛(48%)为主,干预后以轻度疼痛(56%)为主;干预后轻度疼痛患者多于干预前,中、重度疼痛患者少于干预前,差异均有统计学意义(P﹤0.05)。干预后患者的焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分分别为(43.5±3.8)、(42.6±3.9)分,明显低于干预前的(52.4±4.1)、(51.8±4.3)分,差异均有统计学意义(P﹤0.01)。干预后SAS、SDS评分≥50分的患者分别占4%、3%,均明显低于干预前的23%、21%,差异均有统计学意义(P﹤0.01)。干预后患者的各项生活质量评分均明显高于干预前,差异均有统计学意义(P﹤0.01)。结论心理干预可以减轻骨肿瘤疼痛患者的疼痛程度,降低焦虑、抑郁评分,提高生活质量,临床效果显著。

Objective To explore the effect of psychological intervention on anxiety/depression, pain and quality of life in patients with bone tumor. Method One hundred patients with bone tumor pain were selected and all the patients received routine nursing and psychological intervention. The pain degree, scores of anxiety, depression and quality of life of the patients were evaluated before and after the intervention. Result There was 48%（48/100） patients with moderate pain before intervention and was 56%（56/100） patients with mild pain after intervention, the proportion of patients with mild pain after intervention was higher than that before intervention, the proportion of patients with moderate and severe pain after intervention was lower than that before intervention（P〈0.05）. After intervention, the scores of self-rating anxiety scale（SAS） and self-rating depression scale（SDS） were（43.5±3.8） and（42.6±3.9）, respectively, which were significantly lower than those（52.4±4.1） and（51.8±4.3） before intervention（P〈0.01）. After intervention, the proportions of patients with SAS and SDS scores ≥50 were 4% and 3%, respectively, which were significantly lower than those of 23%and 21% before intervention（P〈0.01）. All the scores of quality of life after intervention were significantly higher than those before intervention（P〈0.01）. Conclusion Psychological intervention can relieve the pain of patients with bone tumor pain, decrease the scores of anxiety and depression and improve their quality of life, with obvious clinical efficacy.