【摘要】 目的 分析舒缓护理联合心情日记对晚期肝癌患者心理痛苦和负性情绪的影响效果。方法 采用便利抽样法，选择2021年3月至8月在本院介入科住院治疗的晚期肝癌患者为研究对象。按入院时间先后次序，将2021年3月至5月住院治疗的晚期肝癌患者45例设为对照组，实施舒缓护理，包括心理痛苦评估、提供多元化健康教育、鼓励患者家属提供情感支持、开展同伴教育和进行症状管理；将2021年5月至8月住院治疗的晚期肝癌患者45例设为试验组，在对照组舒缓护理基础上联合心情日记进行干预，两组干预时间均为7d。干预前后采用心理痛苦温度计（Distress Themometer,DT）、焦虑自评量表（self-rating anxiety scale,SAS）和抑郁自评量表（self-rating depression scale,SDS）对两组患者进行测评。结果 干预前两组患者的心理痛苦、焦虑和抑郁得分及程度比较，差异无统计学意义（均P>0.05）。干预后试验组患者的心理痛苦、焦虑和抑郁得分及程度均低于对照组，差异有统计学意义（均P<0.05）。结论 舒缓护理联合心情日记是一种基于积极心理学的干预策略，对改善患者心理痛苦，缓解患者负性情绪起到积极作用，值得临床推广应用。更多还原

【Abstract】 Objective To analyse the effect of soothing care combined with mood diary on the psychological pain and negative emotions in patients with advanced liver cancer. Method A total of 90 patients with advanced liver cancer hospitalised in the Department of Radiological Intervention of our hospital between March and August 2021 were selected as study subjects. Convenient sampling method was used to divide the patients into a control group and an trial group with 45 patients per group,in the order of hospital admission. The control group implemented with routine soothing care,including completion of psychological pain assessments,diversified health education,encouragement of family members to provide emotional support,peer education,and management of symptoms. The trial group received additional intervention of mood diary on the basis of routine soothing care in the control group. The time of intervention for both groups was 7 days. Before and after the intervention,patients in both groups were evaluated using the psychological pain thermometer （DT）,the self rating anxiety scale （SAS） and self rating depression scale （SDS）. Result There was no statistically significant difference in the scores of psychological pain,anxiety and depression between the two groups before the intervention （both P>0.05）. After the intervention,the scores of psychological pain,anxiety and depression in the trial group were lower than those in the control group,with statistically significant differences （all P<0.05）. Conclusion The combination of soothing care and mood diary is an interventional strategy based on positive psychology. It plays a positive role in improving a psychological pain and alleviating negative emotions of patients.更多还原