CAJ | 학술논문

目的探讨肝癌介入治疗中疼痛患者心理学特征及术中实施心理干预的效果.方法术前采用症状自评量表(SCL-90)对216例行肝癌介入治疗的患者进行心理测试.术中发生疼痛后依次进行心理干预和药物镇痛,并分别于心理干预前、心理干预后和药物治疗后采用数字量表(NRS-10)测定患者的疼痛程度,使用SPSS11.0对所得数据进行统计分析.结果本组SCL-90各因子得分与国内常模作比较,差异有统计学意义(P＜0.05).心理干预前、心理干预后的药物治疗后患者的疼痛评分依次降低,本组患者两样比较均存在显著的统计学差异(P＜0.01).经心理干预完全缓解5例(2.31%),有效缓解63例(29.17%).所有患者经药物治疗后疼痛均缓解.术前SCL-90评分中躯体化、焦虑、恐惧三项因子与心理干预前疼痛评分呈正相关(P＜0.05).结论心理干预作为一种有效的疼痛控制方式,可缓解肝癌介入术中疼痛,对药物治疗辅有补充的作用.
목적 탐토간암개입치료중동통환자심이학특정급술중실시심리간예적효과.방법 술전채용증상자평량표(SCL-90)대216례행간암개입치료적환자진행심리측시.술중발생동통후의차진행심리간예화약물진통,병분별우심리간예전、심리간예후화약물치료후채용수자량표(NRS-10)측정환자적동통정도,사용SPSS11.0대소득수거진행통계분석.결과 본조SCL-90각인자득분여국내상모작비교,차이유통계학의의(P＜0.05).심리간예전、심리간예후적약물치료후환자적동통평분의차강저,본조환자량양비교균존재현저적통계학차이(P＜0.01).경심리간예완전완해5례(2.31%),유효완해63례(29.17%).소유환자경약물치료후동통균완해.술전SCL-90평분중구체화、초필、공구삼항인자여심리간예전동통평분정정상관(P＜0.05).결론 심리간예작위일충유효적동통공제방식,가완해간암개입술중동통,대약물치료보유보충적작용.
Objective To investigate the psychology characteristics of liver cancer patients with pain and the effect of psychological intervention during the operation,Methods 216 eases of liver cancer were tested preoperative by SCL (SCL-90).Psychological intervention and analgesic drugs were orderly carried out when intraopsrative pain happened.And the pain degree of patients was tested by digital scale (NRS-10) before the psyehological intervention,after the psychological intervention and after the drug treatment.Statistical analysis was performed using the SPSS 11.0 software package.Results Each factor score of SCL-90 has significance statistical difference compare with domestic norm (P ＜0.05).The pain degree of patients in order decreased before the psychological intervention,after the psychological intervention and after the drug treatment,and there was statistical significant difference among them (P＜0.01).By psychological intervention,five eases were complete remission (2.31%),63 cases were effective remission (29.17%).All patients' pain was alleviated by drug therapy.The three SCL-90 scores:somatization,anxiety and fear of preoperative and that of pre-psyehological intervention was positively correlated (P＜0.05).Conclusion The psychological intervention as an effective means of pain control may alleviate liver cancer pain,and has a complementary role to drug therapy.