主题绘画和自由绘画相结合对恶性骨肿瘤术后患者负性情绪和睡眠质量的影响

Effect of theme painting combined with free painting on negative emotions and sleep quality in patients with malignant bone tumors after surgery

目的:探讨主题绘画和自由绘画相结合的绘画疗法对恶性骨肿瘤术后患者负性情绪的改善作用。方法:纳入2019年11月至2022年2月期间某医院肿瘤科住院108例恶性骨肿瘤手术后有负性情绪患者,平均分为两组(研究组54例,对照组54例)。对照组给予常规护理,研究组在常规护理基础上增加绘画疗法干预3周,在干预前和干预3周后,采用疼痛数字评分表(NRS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、匹兹堡睡眠质量指数评分表(PSQI)对两组患者进行评估。结果:干预前两组患者得分差异均无统计学意义(P均﹥0.05),干预后观察组NRS、SAS、SDS、PSQI评分均低于对照组,差异均有统计学意义(P均﹤0.05)。结论:主题绘画和自由绘画相结合的绘画疗法可有效改善恶性骨肿瘤术后负性情绪,减轻疼痛,提高睡眠质量。

Objective:to explore the effect of painting therapy with free painting and theme painting on the negative emotion of patients with malignant bone tumor after operation.Method:From November 2019 to February 2022,108 patients with malignant bone tumor surgery and negative emotions were assigned to two groups:study group(n=54)and control group(n=54).control group were given routine nursing;the study group were given painting therapy intervention for 3 weeks on the basis of routine nursing.The two group patients were assessed using digital pain scale(NRS),anxiety self rating scale(SAS),depression self rating scale(SDS),Pittsburgh sleep quality index scale(PSQI),at baseline and week 3.Results:Before intervention,there was no significant difference between the two groups(all P>0.05).After intervention,the scores of NRS,SAS,SDS and PSQI in the study group were lower than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion:The combination of theme painting and free painting therapy can effectively improve the negative emotions after malignant bone tumor surgery,relieve pain,improve the quality of sleep.