摘要
目的:评估院外延续管理在癌痛患者镇痛治疗中的应用价值。方法:选取癌痛患者97例,随机分为干预组(n=49)和对照组(n=48)。干预组实施院外延续护理管理,对照组予以常规出院指导,评估两组出院时及出院后6个月相关知识掌握情况、遵医行为及疼痛控制效果,并对患者出院后6个月心理状态及生活质量情况进行观察。结果:出院后6个月,干预组相关知识掌握情况及遵医行为良好率较出院时明显增加,显著高于对照组;干预组出院后6个月疼痛控制情况明显优于对照组,差异均有统计学意义(P<0.05)。出院后6个月,干预组抑郁自评量表(self-rating depression scale,SDS)、焦虑自评量表(self-rating anxiety scale,SAS)评分显著低于对照组,而癌症治疗功能评价系统(functional assessment of cancer therapy,FACT)各维度评分显著高于对照组,差异均有统计学意义(P<0.01)。结论:对癌痛出院患者实施院外延续管理可有效提高遵医行为,改善镇痛效果,缓解不良情绪,提高生活质量。
Objective： To evaluate the application value of out-of-hospital continuity management in analgesia of patients with cancer pain. Methods： The patients with cancer pain were randomly divided into intervention group（ n = 49） given out-of-hospital continuity management and control group（ n = 48） given routine out-of-hospital guidelines. The degree of grasping pain-related knowledge,compliance behavior and efficacy of pain control were evaluated between two groups on discharge and 6 months after discharge,and psychological state and quality of life were also observed 6 months after discharge. Results： 6 months after discharge,the degree of grasping pain-related knowledge and excellent rate of compliance behavior were increased obviously in the intervention group when compared to on discharge,and were higher than those in the control group（ P〈0. 05）. 6 months after discharge,the condition of pain control in the intervention group were superior to that in the control group,the differences were statistically significant（ P〈0. 05）. 6 months after discharge,both scores of self-rating depression scale（ SDS） and self-rating anxiety scale（ SAS） were significantly lower,while each dimensional score of functional assessment of cancer therapy（ FACT） was higher in the intervention group than that in the control group,the differences were statistically significant（ P〈0. 01）. Conclusion： Out-of-hospital continuity management can effectively improve the compliance behavior of patients with cancer pain,ameliorate analgesic effect,alleviate negative emotions and improve quality of life.
作者
王婷婷
吴贤翠
WANG Ting-ting;WU Xian-cui(Department of Oncology ,Affiliated Nanjing Hospital of Nanjing Medical University, Nanjing 210006, Jiangsu , China)
出处
《川北医学院学报》
CAS
2018年第2期291-293,共3页
Journal of North Sichuan Medical College
关键词
癌痛
延续管理
疼痛控制
生活质量
Cancer pain
Continuity management
Pain control
Quality of life
