跨理论模型联合动机访谈对肝癌介入术后患者应对方式及癌性疼痛控制的影响

Effect of Cross-theoretical Model Combined with Motivational Interview on the Coping Style and Cancer Pain Control After Intervention Therapy in Patients with Liver Cancer

目的研究跨理论模型(CTM)联合动机访谈(MI)对肝癌介入术患者应对方式及癌性疼痛控制的影响。方法选取2015年12月至2017年12月于绵阳市中心医院肝胆外科接受肝癌介入术的患者84例,按照随机数字表法分成对照组和试验组,每组各42例。对照组予以常规干预,试验组在常规干预的基础上予以CTM联合MI干预。比较干预前后两组应对方式、癌性疼痛控制、生活质量及并发症发生情况。结果干预6个月及1年后,试验组面对评分明显高于对照组(P<0.05;试验组癌性疼痛控制障碍问卷(BQ)评分、疼痛数字评分法(NRS)评分均明显低于对照组(P<0.05;试验组心理维度、社会维度、生理维度以及总分均明显高于对照组(P<0.05)。试验组干预后,胃肠道反应、发热、肝功能异常以及肝区疼痛发生率均明显低于对照组(P<0.05)。结论CTM联合MI可有效改善肝癌介入术后患者应对方式,同时提高患者癌性疼痛控制效果与生活质量,降低并发症发生率。

Objective To study the effect of cross-theoretical model (CTM) combined with motivational interview (MI) on the coping style and cancer pain control after therapy intervention in patients with liver cancer.Methods A total of 84 patients with liver cancer treated with the intervention therapy in Mianyang Central Hospital from December of 2015 to December of 2017 were selected as the subjects and divided into the observation group and control group with 42 cases in each group by the random number table method.The control group was given the conventional intervention therapy, while the observation group was given the cross-theoretical model combined with motivational interview on the basis of the conventional intervention.The coping styles, cancer pain control, quality of life and incidence of complications before and after intervention were compared in the two groups.Results After 6 months and 1 year of intervention, the face score of the observation group was significantly higher than that of the control group ( P <0.05).The scores of pain control disorder questionnaire and pain digit scale in the observation group were significantly lower than those in the control group ( P <0.05).The scores of psychological dimension, social dimension and physiological dimension and the total score in the observation group were significantly higher than those in the control group ( P <0.05).The incidences of gastrointestinal reaction, fever, liver dysfunction and liver pain after intervention in the observation group were significantly lower than those in the control group ( P <0.05).Conclusion The cross-theoretical model combined with motivational interview can effectively improve the coping styles, improve the cancer pain control and quality of life, and reduce the incidence of complications after intervention therapy in patients with liver cancer.