Research on the effect of social cognitive theory guided intervention on pain degree and negative emotions (anxiety/depression) in patients with liver cancer
社会认知理论导向干预对肝癌患者疼痛程度及负性情绪（焦虑/抑郁）的改善效果研究

摘要

目的 探讨社会认知理论导向干预在肝癌患者疼痛管理及负性情绪改善中的应用效果，为临床肿瘤护理提供新的干预思路与实践依据。方法 选取2023年7月-2024年7月在我院肿瘤科住院治疗的130例肝癌患者作为研究对象，采用随机数字表法分为对照组和实验组，每组各65例。对照组接受常规护理干预，实验组在常规护理基础上实施基于社会认知理论的综合干预措施4周。观察两组干预效果。结果 干预前，两组患者NRS疼痛评分、HADS-A（焦虑）评分、HADS-D（抑郁）评分及SAS评分比较，（P>0.05）；干预4周后，实验组患者NRS疼痛评分显著低于对照组，HADS-A评分、HADS-D评分及SAS评分均明显低于对照组，（P<0.05）。结论 基于社会认知理论的综合干预可有效减轻肝癌患者的疼痛程度，改善其焦虑、抑郁等负性情绪，有助于提升患者心理健康水平和生活质量，值得在临床肿瘤护理中推广应用。

Abstract

Objective To explore the application effect of social cognitive theory-guided intervention in pain management and negative emotion improvement of patients with liver cancer, and to provide new intervention ideas and practical basis for clinical oncology nursing.
Methods 130 patients with liver cancer who were hospitalized in the oncology department of our hospital from July 2023 to July 2024 were selected as the research subjects. They were divided into the control group and the experimental group by random number table method, with 65 cases in each group. The control group received routine nursing intervention, and the experimental group received comprehensive intervention based on social cognitive theory in addition to routine nursing for 4 weeks. The intervention effects of the two groups were observed.
Results Before the intervention, the NRS pain score, HADS-A (anxiety) score, HADS-D (depression) score and SAS score of the two groups were compared (P > 0.05); after 4 weeks of intervention, the NRS pain score of the experimental group was significantly lower than that of the control group, and the HADS-A score, HADS-D score and SAS score of the experimental group were significantly lower than those of the control group (P < 0.05).
Conclusion   The comprehensive intervention based on social cognitive theory can effectively reduce the pain degree of patients with liver cancer, improve their negative emotions such as anxiety and depression, and help improve the mental health level and quality of life of patients, which is worthy of promotion and application in clinical oncology nursing.