阶段性心理干预在原发性肝癌患者经导管肝动脉化疗栓塞术后疼痛与焦虑治疗中的应用效果：一项单中心随机对照研究

肝癌电子杂志 ›› 2020, Vol. 7 ›› Issue (4): 48-51.

阶段性心理干预在原发性肝癌患者经导管肝动脉化疗栓塞术后疼痛与焦虑治疗中的应用效果：一项单中心随机对照研究

李迎¹, 程菲¹, 任玮¹, 何瑞仙^2,*

1 国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学肿瘤医院介入治疗科,北京 100021;
2 国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院护理部,北京 100021

收稿日期:2020-06-15 发布日期:2021-02-02
通讯作者: *何瑞仙E-mail:he87787591@126.com
作者简介:李迎,主管护师,中国医学科学院北京协和医学院肿瘤医院,介入治疗科

Effect of phased psychological intervention on the treatment of pain and anxiety after TACE in patients with primary liver cancer

Li Ying¹, Cheng Fei¹, Ren Wei¹, He Ruixian^2,*

1 Department of Interventional Therapy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China;
2 Department of Nursing, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China

Received:2020-06-15 Published:2021-02-02

摘要/Abstract

摘要： 目的：探讨阶段性心理干预对原发性肝癌(primary liver cancer, PLC)患者经导管肝动脉化疗栓塞术(transcatheter arterial chemoembolization, TACE)术后疼痛与焦虑治疗的应用效果。方法：选取经动脉化疗栓塞治疗的200例PLC患者,随机分为两组,每组100例,对照组给予常规护理,干预组在常规护理基础上实施阶段性心理干预。应用数字疼痛分级法（number rating scales, NRS ）比较两组间疼痛评分与焦虑评分的差异。结果：两组患者NRS评分在术后均呈下降趋势,干预组在术后24h、48 h和72 h的疼痛评分均显著低于对照组( P<0.05 ),干预组焦虑评分显著低于对照组(P<0.05) 。结论：阶段性心理干预能够有效降低PLC患者TACE术后疼痛并减轻焦虑程度。

关键词: 原发性肝癌, 化疗栓塞, 阶段性心理干预, 疼痛, 焦虑

Abstract: Objective: To investigate the effect of phased psychological intervention onthe treatment of pain and anxiety after TACE in patients with primary liver cancer(PLC). Methods:A total of 200 patients with primary liver cancer who were treated with transcatheter arterial chemoembolization were randomly divided into two groups, with 100 patients in each group. Control group was given conventional care while the study group was intervention group based on conventional care Implement phased psychological intervention. The number rating scales (NRS) pain score and the degree of anxiety were compared between the two groups. Results:The NRS scores of both groups showed a downward trend after operation. The pain scores of the intervention group at 24、48 and 72 hours after surgery were lower than those of the control group (P<0.05), and the patient anxiety scores were lower than those of the control group (P<0.05). Conclusion: Phased psychological intervention can effectively reduce the pain and anxiety of patients with primary liver cancer after TACE.

Key words: Primary liver cancer, Chemoembolization, Staged psychological intervention, Pain, Anxiety

李迎, 程菲, 任玮, 何瑞仙. 阶段性心理干预在原发性肝癌患者经导管肝动脉化疗栓塞术后疼痛与焦虑治疗中的应用效果：一项单中心随机对照研究[J]. 肝癌电子杂志, 2020, 7(4): 48-51.

Li Ying, Cheng Fei, Ren Wei, He Ruixian. Effect of phased psychological intervention on the treatment of pain and anxiety after TACE in patients with primary liver cancer[J]. Electronic Journal of Liver Tumor, 2020, 7(4): 48-51.

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