摘要
目的分析接纳承诺疗法干预对带状疱疹后遗神经痛患者慢性疼痛、心理状态及护理满意度的影响。方法将80例带状疱疹后遗神经痛患者采用随机抽签法分为对照组(40例)和研究组(40例)。对照组进行常规心理干预,研究组实施接纳承诺疗法干预,两组均连续干预12 d。比较两组干预前和干预3 d、6 d、12 d后中文版简易慢性疼痛接受问卷-8评分及干预前、干预12 d后心理状况、自我效能感、睡眠质量、生活质量,统计两组干预12 d后护理满意度。结果干预3 d、6 d、12 d后,两组中文版简易慢性疼痛接受问卷-8评分均呈逐渐升高趋势,且研究组高于对照组,差异有统计学意义(P<0.05或0.01);干预后两组心理状况各项评分均较干预前升高,且研究组高于对照组,差异有统计学意义(P<0.01);干预后两组自我效能感、躯体健康、精神健康评分均较干预前升高,且研究组高于对照组,差异有统计学意义(P<0.01);干预后两组睡眠质量评分均较干预前降低,且研究组低于对照组,差异有统计学意义(P<0.01);研究组干预12 d后的护理总满意率(92.50%)高于对照组(75.00%),差异有统计学意义(P<0.05)。结论接纳承诺疗法干预可有效提高带状疱疹后遗神经痛患者对疼痛的耐受度,同时改善患者心理状况,提高患者自我效能感、睡眠质量、生活质量及护理满满意度,具有较好的干预效果。
Objective To analyze the influence of acceptance commitment therapy(ACT)on chronic pain,psychological state and nursing satisfaction of patients with postherpetic neuralgia(PN).Methods Eighty PN patients were divided into the routine control(n=40)and research(n=40)according to sortition randomization method.Control group received routine psychological intervention,the research did the ACT,and both groups were continuously intervened for 12 days.Such indexes were compared between two groups as pre-intervention and 3rd,6th and 12th day intervention scores of the Chinese Version of the Simple Chronic Pain Acceptance Questionnaire-8(CPAQ-8)as well as psychological status,self-efficacy,sleep quality,and quality of life before and after 12 day intervention,nursing satisfaction of both groups after 12 day intervention were counted.Results After 3,6 and 12 day intervention scores of both groups on the CPAQ-8 gradually increased,those were higher in research than in control group,and differences had statistical significance(P<0.05 or 0.01);after intervention scores of both groups on all items of mental status increased compared with pre-intervention,those were higher in research than in control group,and differences had statistical significance(P<0.01);after intervention scores of both groups on self-efficacy,somatic health and mental health increased compared with pre-intervention,those were higher in research than in control group,and differences had statistical significance(P<0.01)after 12 day intervention the total nursing satisfaction rate was higher in research than in control group(92.50%vs.75.00,P<0.05).Conclusion The ACT could effectively raise PN and patients'tolerance to pain,meanwhile improve psychological status,raise self-efficacy,sleep quality,quality of life and nursing satisfaction,and has better intervention effect.
作者
李献萍
杨光宇
贾红影
Li Xianping;Yang Guangyu;Jia Hongying(Henan Provincial People’s Hospital,Zhengzhou 450003,Henan,China)
出处
《临床心身疾病杂志》
CAS
2023年第3期133-137,共5页
Journal of Clinical Psychosomatic Diseases
基金
国家自然科学基金资助项目(编号 U2004119)。
作者简介
李献萍,女,39岁,汉族,本科,主管护师。主要研究成果:发表专业论文1篇。研究方向:疼痛护理。
