摘要
目的 探讨沙盘游戏疗法联合分级心理干预对鼻咽癌患者睡眠障碍的影响。方法 选取2019年1月至2022年1月间西安市中心医院收治的82例鼻咽癌患者,采用随机抽签法分为研究组和参照组,每组41例。研究组患者采用沙盘游戏疗法联合分级心理干预,参照组患者采用常规护理干预,比较两组患者干预前后匹兹堡睡眠质量指数(PSQI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、口咽疼痛[视觉模拟评分法(VAS)]、癌因性疲乏量表(PFS)及口腔黏膜炎发生情况。结果 干预后,两组患者PSQI、SAS和SDS评分均降低,且研究组均低于参照组,差异均有统计学意义(均P<0.05)。干预后,研究组患者的VAS评分低于参照组,PFS评分高于参照组,差异均有统计学意义(均P<0.05)。研究组患者Ⅲ、Ⅳ级口腔黏膜炎发生率均较参照组低,差异均有统计学意义(均P<0.05)。结论 沙盘游戏疗法联合分级心理干预应用于鼻咽癌患者,可有效缓解患者口咽疼痛,减轻癌因性疲乏程度,减少口腔黏膜炎发生风险,改善心理状态,提高睡眠质量。
Objective To explore the effect of sandplay therapy combined with graded psychological intervention on sleep disorders in patients with nasopharyngeal carcinoma. Methods A total of 82 patients with nasopharyngeal carcinoma admitted to Xi’an Central Hospital were enrolled in this study from January 2019 to January 2022. They divided into an experimental group and a control group using random drawing method with 41 patients in each group. The experimental group received sand tray therapy combined graded psychological intervention and the control group received routine care intervention. Pittsburgh sleep quality index(PSQI), self-rating anxiety scale(SAS), self-rating depression scale(SDS), visual simulation scale(VAS) for oropharyngeal pain, Piper fatigue Scale(PFS) for carcinogenic fatigue and oral mucosa inflammation were compared between the two groups before and after intervention. Results After the intervention, PSQI, SAS and SDS decreased in both groups and were lower in the experimental group than in the control group(all P<0.05). After the intervention, VAS scores were lower and PFS scores were higher in the experimental group than in the control group(all P<0.05). After the intervention, the incidence of grade III and IV oral mucosa was significantly lower in the experimental group than in the control group(all P<0.05). Conclusion The combination of sand tray therapy and graded psychological intervention can effectively relieve oropharyngeal pain, reduce cancer fatigue and risk of oral mucositis, and improve psychological state and sleep quality in patients with nasopharyngeal cancer.
作者
王艳
刘艳蕊
宋泽煜
代熊
WANG Yan;LIU Yan-rui;SONG Ze-yu;DAI Xiong(Department of Otorhinolaryngology head and neck surgery,Xian Central Hospital,Xi'an 710003,China)
出处
《中国肿瘤临床与康复》
2022年第7期827-830,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
鼻咽肿瘤
沙盘游戏疗法
分级心理干预
睡眠质量
Nasopharyngeal carcinoma
Sandplay therapy
Graded psychological intervention
Quality of sleep
作者简介
王艳,女,主管护师,主要从事耳鼻喉头颈外科专业。;通信作者:刘艳蕊,Email:wyxa_cool@163.com。
