引导想象放松训练对妇科恶性肿瘤患者疼痛自我效能和生命质量的影响

Effect of guided imagery relaxation therapy on pain self-efficacy and quality of life in patients with gynecological malignant tumor

目的探讨引导想象放松训练对妇科恶性肿瘤患者疼痛自我效能和生命质量的影响。方法将94例妇科恶性肿瘤患者按照随机数字表法分为试验组和对照组各47例,对照组给予常规护理,试验组实施为期4周的引导想象放松训练。分别于干预前和干预后采用中文版简明疼痛评估量表(BPI-C)评价患者疼痛程度,慢性疼痛自我效能感量表(CPSS)评价患者的自我效能感,癌症生命质量核心量表(QLQ-C30)评价患者的生命质量。结果干预4周后试验组BPI-C量表中目前疼痛程度、24 h内最剧烈疼痛程度、平均疼痛程度得分以及QLQ-C30量表中症状领域、其他领域得分分别为(3.76±0.54)、(4.37±1.39)、(3.63±0.73)、(32.40±8.69)、(34.34±5.81)分,低于对照组的(4.18±0.93)、(5.18±1.75)、(4.23±0.97)、(37.72±6.37)、(38.54±6.84)分,2组比较差异有统计学意义(t值为2.415~3.287,均P<0.05)。干预4周后CPSS量表中疼痛管理自我效能感、功能性自我效能感、症状应对自我效能感、CPSS总分以及QLQ-C30量表中功能领域、总体健康状况得分分别为(17.43±5.50)、(27.25±4.40)、(29.76±6.46)、(74.44±9.21)、(72.73±17.74)、(64.02±11.03)分,明显高于对照组的(14.68±3.53)、(22.60±4.01)、(24.87±4.03)、(62.14±7.10)、(65.60±13.89)、(57.23±15.60),差异有统计学意义(t值为2.105~7.036,P<0.05或0.01)。结论引导想象放松训练可有效减轻妇科恶性肿瘤患者癌性疼痛,提高其疼痛自我管理效能感和生命质量。

Objective To investigate the effect of guided imagery relaxation therapy on pain self-efficacy and quality of life in patients with gynecological malignant tumor.Methods A total of 94 gynecological malignant tumor patients were assigned to study group and control group by random digits table method with 47 cases each,the control group received routine nursing,while the study group carried out guided imagery relaxation therapy for 4 weeks.The pain degree,pain self-efficacy and quality of life was assessed by Chinese version of Brief Pain Inventory(BPI-C),Chronic Pain Self-efficacy Scale(CPSS)and Quality of Life Questionnaire-core 30(QLQ-C30),before and 4-week after intervention.Results Compared to the control group,the scores of pain right now,pain at worst in the 24 hours,pain on the average of BPI-C and symptom scales,single items of QLQ-C30 were(3.76±0.54),(4.37±1.39),(3.63±0.73),(32.40±8.69),(34.34±5.81)points in the study group,and(4.18±0.93),(5.18±1.75),(4.23±0.97),(37.72±6.37),(38.54±6.84)points in the control group,the differences were statistically significant(t values were 2.415-3.287,all P<0.05).The scores of self-efficacy for pain management,self-efficacy for physical function,self-efficacy for coping with symptoms,total CPSS total scale and function scales,global QOL scale were(17.43±5.50),(27.25±4.40),(29.76±6.46),(74.44±9.21),(72.73±17.74),(64.02±11.03)points in the study group,and(14.68±3.53),(22.60±4.01),(24.87±4.03),(62.14±7.10),(65.60±13.89),(57.23±15.60)points in the control group,the differences were statistically significant(t values were 2.105-7.036,P<0.05 or 0.01).Conclusions Guided imagery relaxation therapy can alleviate cancerous pain and promote pain self-efficacy and quality of life of patients with gynecological malignant tumor.