摘要
目的分析蜂针联合接纳与承诺疗法对肝癌晚期患者癌性疼痛控制及心理灵活性的影响。方法以70例肝癌晚期患者为对象,随机分为两组,各35例,对照组予以羟考酮缓释片治疗与常规镇痛干预,试验组予以蜂针联合接纳与承诺疗法干预,对比两组癌性疼痛控制效果、心理灵活性、心理痛苦。结果干预前,两组患者疼痛数字评分(NRS)、癌性疼痛控制障碍问卷(BQ)评分、心理灵活性接纳与行为问卷第二版(AAQ-Ⅱ)及心理痛苦温度计(DT)评分比较,差异无统计学意义(t分别=-0.12、0.33、-0.04、-0.10,P均>0.05);干预后,试验组NRS、BQ评分、AAQ-Ⅱ及DT评分均比对照组低,差异有统计学意义(t分别=-13.51、-14.70、-7.03、-4.07,P均<0.05)。结论蜂针联合接纳与承诺疗法有助于提升肝癌晚期患者癌性疼痛控制效果及心理灵活性,缓解心理痛苦。
Objective To analyze the effect of bee-acupuncture combined with acceptance and commitment therapy on cancer pain control and psychological flexibility in patients with advanced liver cancer.Methods Totally 70 cases of advanced liver cancer were selected and randomly divided into two groups,35 cases in each group.The patients in the control group were treated with oxycodone hydrochloride prolonged-release tablets and routine analgesic intervention,and the experimental group was received bee-acupuncture combined with acceptance and commitment therapy.The cancer pain control effect,psychological flexibility,psychological pain were compared between the two groups.Results Before intervention,there was no significant difference in NRS score,BQ score,AAQ-Ⅱ,and DT score between the two groups(t=-0.12,0.33,-0.04,-0.10,P>0.05).After the intervention,the NRS score,BQ score,AAQ-Ⅱ,and DT score of the experimental group were lower than those of the control group(t=-13.51,-14.70,-7.03,-4.07,P<0.05).Conclusion Bee-acupuncture combined with acceptance and commitment therapy can help to improve the cancer pain control effect and psychological flexibility in patients with advanced liver cancer,and alleviate psychological pain.
作者
汪娅君
凌燕
刘恋
WANG Yajun;LING Yan;LIU Lian(Department of Hepatobiliary Surgery,Quzhou People's Hospital,Quzhou 324000,China)
出处
《全科医学临床与教育》
2020年第6期531-533,536,共4页
Clinical Education of General Practice
关键词
蜂针
接纳与承诺疗法
肝癌晚期
癌性疼痛控制
心理灵活性
心理痛苦
bee-acupuncture
acceptance and commitment therapy
advanced liver cancer
cancer pain control
psychological flexibility
psychological pain
