正念疗法结合疼痛干预对创伤骨折患者术后心理状况及生存质量的影响

Effect of Mindfulness Therapy Combined with Pain Intervention on Psychological Status and Life Quality in Patients with Traumatic Fracture after Operation

目的采用正念疗法与疼痛干预对创伤骨折患者术后心理状况及生存质量的影响。方法于2019年10月—2021年10月选取邹城市人民医院骨科住院治疗的98例创伤性骨折患者,根据随机数字法分对照组和观察组各组49例。对照组采用疼痛干预,观察组采用正念疗法结合疼痛干预的模式。比较两组的视觉模拟评分法(Visual Analogue Scalescore,VAS)、心理状态程度量表(profile of mood states,POMS)、匹兹堡睡眠质量指数(Pittsburgh sleep qualityindex,PSQI)和生存质量评定量表-74(Generic Quality of Life Inventory-74,GQOL-74)评分改善情况。结果观察组干预后VAS、POMS、PSQI评分低于对照组,差异有统计学意义(P<0.05);观察组干预后GQOL-74的心理功能、躯体健康、物质生活、社会功能评分高于对照组,差异有统计学意义(P<0.05)。结论正念疗法结合疼痛干预能够对创伤性骨折患者的疼痛感缓解较为明显,有利于改善患者的心理状态,进一步提高患者睡眠质量,从而有助于提升创伤性骨折患者的综合生存质量。

Objective To investigate the effect of mindfulness therapy and pain intervention on the psychological status and quality of life of patients with traumatic fracture after operation.Methods From October 2019 to October 2021,a total of 98 patients with traumatic fracture were selected from the Orthopaedic Department of Zoucheng People’s Hospital and divided into control group and observation group according to random number method.The control group was treated with pain intervention,and the observation group was treated with mindfulness therapy combined with pain intervention.The scores of visual analog scale(VAS),profile of mood states(POMS),Pittsburgh sleep quality index(PSQI),and General Quality of Life Inventory-74(GQOL-74)were compared between the two groups.Results After intervention,VAS score,POMS score and PSQI score in the observation group were significantly lower than those in the control group(P<0.05);After intervention,GQOL-74 scores of psychological function,physical health,material life and social function in the observation group were significantly better than those in the control group(P<0.05).Conclusion Mindfulness therapy combined with pain intervention can significantly relieve the pain of patients with traumatic fracture,improve their psychological status,further improve their sleep quality,and thus help to improve the comprehensive quality of life of patients with traumatic fracture.