正念减压法对开胸术后疼痛综合征患者疼痛及负性情绪的影响

Effect of mindfulness-based stress reduction on pain and negative emotion in patients with post-thoracotomy pain syndrome

目的探讨正念减压法(MBSR)对开胸术后疼痛综合征(PTPS)患者疼痛及负性情绪的影响。方法选取2019年1月至2020年3月福建省肿瘤医院收治的84例PTPS患者作为研究对象,按照随机数字表法分为对照组和实验组,每组42例。对照组采用常规护理干预,实验组在对照组基础上采用MBSR进行干预。比较两组干预前后视觉模拟评分法(VAS)、焦虑自评量表(SAS)和抑郁自评量表(SDS)评分,分析干预前后疼痛程度与SAS、SDS评分的相关性。结果干预前,两组VAS、SAS、SDS评分比较差异无统计学意义;干预8周后,实验组两组VAS、SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。干预前后,疼痛程度与SAS、SDS评分呈正相关(P<0.05)。结论MBSR可有效改善PTPS患者的疼痛程度和心理状态,值得临床推广应用。

Objective To investigate the effect of mindfulness-based stress reduction(MBSR)on the pain and negative emotion in patients with post-thoracotomy pain syndrome(PTPS).Methods A total of 84 patients with PTPS treated in Fujian Cancer Hospital from January 2019 to March 2020 were selected as the research subjects,and they were divided into control group and experimental group according to random number table method,with 42 cases in each group.The control group received routine nursing intervention,and the experimental group received MBSR intervention on the basis of the control group.The visual analogue scale(VAS),self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores were compared between the two groups before and after intervention,and the correlation between the degree of pain and the SAS and SDS scores before and after the intervention was analyzed.Results Before the intervention,there was no significant difference in the VAS,SAS,and SDS scores between the two groups;after 8 weeks of intervention,the VAS,SAS,and SDS scores in the experimental group were lower than those in the control group(P<0.05).Before and after intervention,the degree of pain was positively correlated with SAS and SDS scores(P<0.05).Conclusion MBSR can effectively improve the pain degree and psychological state of patients with PTPS,and it is worthy of clinical application.