心理支持疗法对肝癌晚期患者疼痛的疗效观察

Efficacy of Supportive psychotherapy on patients with pain of advanced hepatoma

目的探讨心理支持疗法对肝癌晚期患者疼痛的疗效。方法采用便利抽样法选取2018年3月—2020年2月深圳市某医院介入治疗科收治的肝癌晚期疼痛患者50例作为研究对象,按随机数字表法将其分为对照组和观察组,每组各25例。对照组实施WHO推荐的三阶梯止痛法,观察组在对照组的基础上接受心理支持疗法;应用VAS评分法评估两组患者疼痛缓解的程度。结果观察组中度疼痛患者干预后VAS评分低于对照组,重度疼痛患者实施干预后VAS评分也低于对照组,差异均有统计学意义(P<0.05)。结论心理支持疗法可以有效缓解肝癌晚期患者的疼痛程度,值得临床推广应用。

Objective To investigate the effect of psychological support therapy on pain in patients with advanced liver cancer.Methods A total of 50 patients with advanced pain of liver cancer admitted to the interventional therapy department of a hospital in Shenzhen from March 2018 to February 2020 were selected by convenience sampling method as the study subjects.They were divided into control group and observation group according to random number table method,with 25 patients in each group.The control group was treated with the three-step analgesic ladder recommended by the WHO,the observation group was given supportive psychotherapy on the basis of the control group.VAS score was used to evaluate the degree of pain relief in both groups.Results VAS score of patients with moderate pain in the observation group was lower than that of the control group after intervention,and VAS score of patients with severe pain was also lower than that of the control group after intervention,with statistical significance(P<0.05).Conclusion Psychological support therapy can effectively relieve the pain degree of patients with advanced liver cancer,which is worthy of clinical application.