Effect of bee-acupuncture combined with acceptance and commitment therapy on cancer pain control and psychological flexibility in patients with advanced liver cancer

目的分析蜂针联合接纳与承诺疗法对肝癌晚期患者癌性疼痛控制及心理灵活性的影响。方法以70例肝癌晚期患者为对象,随机分为两组,各35例,对照组予以羟考酮缓释片治疗与常规镇痛干预,试验组予以蜂针联合接纳与承诺疗法干预,对比两组癌性疼痛控制效果、心理灵活性、心理痛苦。结果干预前,两组患者疼痛数字评分（NRS）、癌性疼痛控制障碍问卷（BQ）评分、心理灵活性接纳与行为问卷第二版（AAQ-Ⅱ）及心理痛苦温度计（DT）评分比较,差异无统计学意义（t分别=-0.12、0.33、-0.04、-0.10,P均＞0.05）;干预后,试验组NRS、BQ评分、AAQ-Ⅱ及DT评分均比对照组低,差异有统计学意义（t分别=-13.51、-14.70、-7.03、-4.07,P均＜0.05）。结论蜂针联合接纳与承诺疗法有助于提升肝癌晚期患者癌性疼痛控制效果及心理灵活性,缓解心理痛苦。 

Objective To analyze the effects of bee acupuncture combined with acceptance and commitment therapy on cancer pain control and psychological flexibility in patients with advanced liver cancer. Methods Seventy patients with advanced liver cancer were randomly divided into two groups, 35 in each group. The control group received oxycodone sustained-release tablets and conventional analgesia, while the experimental group received bee acupuncture combined with acceptance and commitment therapy. The effects of cancer pain control, psychological flexibility, and psychological distress were compared between the two groups. Results Before intervention, there were no significant differences in the numeric pain score (NRS), Barriers to Control of Pain Questionnaire (BQ), Acceptance and Behavior Questionnaire-II (AAQ-Ⅱ), and Distress Thermometer (DT) between the two groups (t=-0.12, 0.33, -0.04, and -0.10, respectively; all P＞0.05).After intervention, the NRS, BQ, AAQ-Ⅱ, and DT scores in the experimental group were significantly lower than those in the control group (t=-13.51, -14.70, -7.03, and -4.07, respectively; all P＜0.05). Conclusion Bee acupuncture combined with acceptance and commitment therapy can help improve cancer pain control and psychological flexibility in patients with advanced liver cancer, and relieve psychological distress.