摘要
目的:探讨居家护理对大剂量强阿片类药物治疗晚期癌痛致不良反应的影响。方法:选取60例居家晚期癌痛采用大剂量强阿片类药物剂量(口服吗啡等效剂量每天300 mg及以上)的患者为研究对象,将其随机分为对照组和观察组各30例,对照组采用常规护理干预,观察组采用居家护理干预;比较两组不良反应发生率,并对干预前后两组患者及家属认知度及配合度、生存质量评分进行比较。结果:观察组不良反应发生率明显低于对照组(P<0.05);干预后观察组患者及家属认知度及配合度均高于对照组(P<0.05),生存质量评分均好于对照组(P<0.05)。结论:居家护理在降低晚期癌痛患者应用大剂量强阿片类药物不良反应中的效果较好,且可显著改善患者的生存质量,在此类晚期癌痛患者中的应用价值较高。
Objective： To explore the effect of home care on the adverse reaction of advanced cancer pain caused by large dose of strong opioids. Methods： A total of 60 patients with advanced cancer at home with large doses of strong opioid dose（ oral morphine equivalent dose300 mg/d and above） as the research object were randomly divided into the control group and the observation group with 30 cases in each group. The control group was given the routine nursing intervention,while the observation group was given home nursing intervention. The incidence of the adverse reactions of the two groups,the awareness and cognition of two groups and their families,the quality of life before and after the intervention were compared. Results： The incidence of adverse reactions in the observation group was significantly lower than that in the control group（ P〈0. 05）. After the intervention,the cognition and coordination degree of the patients and their families in the observation group were significantly higher than those in the control group（ P〈0. 05）,and their quality of life scores were significantly better than those in the control group（ P〈0. 05）. Conclusion： Home care is effective in reducing adverse reactions in patients with advanced cancer pain,and can significantly improve the quality of life of patients.
出处
《齐鲁护理杂志》
2017年第23期19-21,共3页
Journal of Qilu Nursing
基金
韶关市卫生计生科研项目(编号:Y17007)
