The effect of psychological counseling and programmed pain care for patients with Intracranial Injury

WANG Can; SUN Mingshuo; QI Bin

doi:10.3969/j.issn.2097-1753.2025.01.020

Abstract：Objective: To analyze the effects of psychological counseling and programmed pain care on the pain level, stress response, and coping style of patients with intracranial injury. Methods: A total of 80 patients with intracranial injury who received conservative treatment at Bozhou People's Hospital from October 2021 to June 2023 were selected and randomly divided into a control group (40 cases, receiving routine nursing during treatment) and a study group (40 cases, receiving psychological counseling and programmed pain care in addition to routine nursing). The differences in Visual Analog Scale (VAS), stress response [Hospital Anxiety and Depression Scale (HAD)], coping style [Medical Coping Modes Questionnaire (MCMQ)], disease burden [Brief Illness Perception Questionnaire (BIPQ)], comfort [General Comfort Questionnaire (GCQ)], and quality of life [Generic Quality of Life Inventory-74 (GQOLI-74)] were compared between the two groups before and after intervention (at discharge) under different states (resting and activity). Results: The differences in VAS scores between pre- and post-nursing in both resting and activity states were higher in the study group than in the control group (t=22.803, 29.309, P < 0.001 for both). The difference in HAD scores was higher in the study group than in the control group (t=11.450, P < 0.001). The difference in MCMQ 'confrontation' scores was lower in the study group than in the control group (t=7.662, P < 0.001), while the differences in MCMQ 'avoidance' and 'yielding' scores were higher in the study group than in the control group (t=5.595, 5.463, P < 0.001 for both). The difference in BIPQ scores was higher in the study group than in the control group (t=8.130, P < 0.001). The difference in GCQ scores was lower in the study group than in the control group (t=19.205, P < 0.001). The differences in all dimensions of GQOLI-74 scores were lower in the study group than in the control group, with statistical significance (t=6.252, 5.274, 9.165, 5.313, P < 0.001 for all). Conclusion: Psychological counseling and programmed pain care can reduce the pain level, alleviate psychological stress response, reduce the sense of disease burden, improve coping styles, enhance comfort, and improve the quality of life of patients with intracranial injury.