心理痛苦评估及干预对鼻咽癌放疗创伤成长、生活质量的影响作用

Effect of psychological pain assessment and intervention on traumatic growth and quality of life of nasopharyngeal carcinoma

目的探讨鼻咽癌放疗期间创伤患者采用心理痛苦评估及干预对患者创伤后成长、生活质量的影响。方法选取该院2016年5月至2018年9月收集的鼻咽癌放疗期间创伤的患者96例,采用随机区组设计分为干预组和对照组,各48例。干预组给予心理痛苦评估及干预、对照组仅给予常规化疗后康复指导。对比两组的创伤后成长评定量表(C-PTGI)、欧洲癌症研究与治疗组织生存质量量表头颈专用量表(EORTC QLQ H&N35)(V1.0中文版)评分。结果干预前,干预组和对照组的人生感悟、个人力量、新的可能性、与他人的关系、自我转变及PTGI总分差异均无统计学意义(均P>0.05);干预后,干预组患者的人生感悟、个人力量、新的可能性、与他人的关系、自我转变及PTGI总分均高于对照组(均P<0.05);干预前,干预组和对照组的生活质量各个维度及总分差异均无统计学意义(均P>0.05);干预后,干预组患者的头颈部位疼痛、吞咽功能、感觉、发声讲话、社会进食、社会接触、性生活及生活质量总分均高于对照组,差异有统计学意义(均P<0.05)。结论鼻咽癌放疗期间创伤患者采用心理痛苦评估及干预对促进创伤后成长、改善生活质量具有积极意义。

Objective To explore the effects of psychological pain assessment and intervention on post-traumatic growth and quality of life in patients with traumatic nasopharyngeal carcinoma during radiotherapy.Methods A total of 96 patients with nasopharyngeal carcinoma trauma during radiotherapy collected in the hospital from May 2016 to September 2018 were selected and divided into the intervention group and the control group by random block design,with 48 cases each.The intervention group was given psychological pain assessment and intervention.The control group was only given rehabilitation guidance after conventional chemotherapy.The Chinese-Posttraumatic Growth Rating Scale(C-PTGI)and the European Cancer Research and Treatment Organization Quality of Life Scale Head and Neck Special Scale(EORTC QLQ H&N35)(V1.0 Chinese version)scores were compared.Results Before the intervention,there was no significant difference in life perception,personal strength,new possibility,relationship with others,self-transformation and C-PTGI scores in the intervention group and the control group were statistically(P>0.05).After the intervention,the life of the intervention group patients feelings,personal strength,new possibilities,relationships with others,self-transformation,and C-PTGI scores were higher than those in the control group(P<0.05).Before intervention,there were no statistically significant differences in quality of life in all dimensions and total scores between the intervention group and the control group(P>0.05).After intervention,the head and neck pain,swallowing function,sensation,vocal speech,social eating,social contact,sexual life and quality of life in the intervention group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions The psychological pain assessment and intervention of trauma patients during nasopharyngeal carcinoma during radiotherapy have positive significance for promoting post-traumatic growth and improving quality of life.