{"title":"Impact of comprehensive psychological cognitive nursing on the quality of life of patients with chronic pain and depression.","authors":"Yan Cheng, Jv-Ming Mao, Ying Zhang","doi":"10.5498/wjp.v15.i9.107534","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Aim: </strong>To investigate the impact of comprehensive psychological cognitive nursing on the patients with chronic pain and depression.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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 (<i>P</i> < 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.</p><p><strong>Conclusion: </strong>Comprehensive psychological cognitive nursing interventions can significantly reduce patients' pain and depression symptoms while boosting their confidence in managing the illness.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 9","pages":"107534"},"PeriodicalIF":3.4000,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418017/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"World Journal of Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.5498/wjp.v15.i9.107534","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
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 (P < 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.
期刊介绍：
The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.
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