心理行为疗法对泌尿外科癌症病人疼痛和生活质量的影响

摘要

目的：探讨心理行为疗法对泌尿外科癌症病人疼痛和生活质量的影响。方法将120例泌尿外科癌症病人分为试验组和对照组，每组各60例，对照组给予心理疗法；试验组在对照组基础上实施行为疗法，干预时间1个月。采用疼痛分级量表（verbal rating scale，VRS）和生活质量核心问卷（quality of life questionnaire-C30，LQ-C30）对两组病人进行测评。结果干预后，试验组病人疼痛缓解有效率高于对照组病人；QLQ-C30总分及其角色功能、情感功能评分高于对照组病人，两组比较，均P＜0.05，差异具有统计学意义。结论心理行为疗法可缓解泌尿外科癌症病人的疼痛感，提高病人的生活质量。%Objective To evaluate the effect of psychological interventions for patients with urnary cancer on pain and quality of life.Methods One hundred and twenty patients were randomized into research and control group.Each group contained 60 cases. The study group received regular analgesic treatment and psychological interventions.The control group received the same scheme but for psychological interventions.As LQ-C30 was applied to evaluate patients' pain intensity and quality of life respectively.Result The pain relief rate of study group acquired is different significantly from control group, as well as in a higher score in global quality of life, role function, emotional function (P<0.05).Conclusions High-quality psychological care service can improve the quality of life of patients and release cancer pain.