综合心理认知护理对慢性疼痛伴抑郁患者生活质量的影响。
Impact of comprehensive psychological cognitive nursing on the quality of life of patients with chronic pain and depression.
作者信息
Cheng Yan, Mao Jv-Ming, Zhang Ying
机构信息
Department of Painology, The First Affiliated Hospital of Soochow University, Suzhou 215031, Jiangsu Province, China.
出版信息
World J Psychiatry. 2025 Sep 19;15(9):107534. doi: 10.5498/wjp.v15.i9.107534.
BACKGROUND
Chronic pain and depression often coexist, severely affecting quality of life. Traditional treatments address these conditions separately, but comprehensive psychological cognitive nursing offers a holistic approach. By combining cognitive-behavioral strategies and psychological support, it helps improve coping mechanisms, reduce distress, and enhance overall well-being in affected patients.
AIM
To investigate the impact of comprehensive psychological cognitive nursing on the patients with chronic pain and depression.
METHODS
From October 2022 to October 2024, 171 patients with chronic pain and depression admitted to our hospital were randomly divided into two groups, with 85 patients in the control group and 86 patients in the observation group. The general data from both groups were compared. The control group received standard treatment. The observation group provided full psychological cognitive care in the same way as the control group did. The two groups of patients' psychological states, pain levels, quality of life, sleep quality, and nurse satisfaction were compared before to and during the intervention.
RESULTS
Compared with the control group, the self-rating anxiety scale (SAS) score, self-rating depression scale (SDS) score, visual analog scale (VAS) score, and Pittsburgh Sleep Quality Index (PSQI) score of the observation group significantly decreased after intervention, while the short-form 36 (SF-36) score significantly increased ( < 0.05). The SAS score decreased by 17.36%; SDS score decreased by 26.21%. The VAS scores decreased by 57.14%, 63.43%, and 69.86% at 12 hours, 24 hours and 48 hours, respectively. The SF-36 score indicators increased by 13.29%, 13.24%, 20.77%, and 19.41%, respectively; The PSQI score decreased by 54.66%. The observation group reported higher nurse satisfaction.
CONCLUSION
Comprehensive psychological cognitive nursing interventions can significantly reduce patients' pain and depression symptoms while boosting their confidence in managing the illness.
背景
慢性疼痛和抑郁症常同时存在，严重影响生活质量。传统治疗方法分别针对这些病症，但综合心理认知护理提供了一种整体方法。通过结合认知行为策略和心理支持，它有助于改善应对机制，减轻痛苦，并提高受影响患者的整体幸福感。
目的
探讨综合心理认知护理对慢性疼痛伴抑郁症患者的影响。
方法
选取2022年10月至2024年10月我院收治的171例慢性疼痛伴抑郁症患者，随机分为两组，对照组85例，观察组86例。比较两组的一般资料。对照组接受标准治疗。观察组在接受与对照组相同的标准治疗基础上，给予全程心理认知护理。比较两组患者干预前、干预期间的心理状态、疼痛程度、生活质量、睡眠质量及护士满意度。
结果
与对照组相比，观察组干预后自评焦虑量表（SAS）评分、自评抑郁量表（SDS）评分、视觉模拟量表（VAS）评分及匹兹堡睡眠质量指数（PSQI）评分均显著降低，而简明健康状况调查问卷（SF-36）评分显著升高（P<0.05）。SAS评分下降17.36%；SDS评分下降26.21%。VAS评分在12小时、24小时和48小时分别下降57.14%、63.43%和69.86%。SF-36评分指标分别提高13.29%、13.24%、20.77%和19.41%；PSQI评分下降54.66%。观察组护士满意度更高。
结论
综合心理认知护理干预可显著减轻患者的疼痛和抑郁症状，同时增强其应对疾病的信心。
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