摘要
目的探讨晚期肿瘤患者疼痛护理干预模式及效果。方法随机选取该院2016年1月—2020年8月100例晚期肿瘤疼痛患者,随机数表法分两组。对照组给予常规护理,研究组实施全方位疼痛护理干预模式。比较两组护理前后疼痛视觉模拟评分、焦虑自评量表评分、抑郁自评量表评分、匹兹堡睡眠质量评分、生理应激皮质醇监测值、去甲肾上腺素监测值、护理满意度水平、癌痛缓解的时间、止痛药使用率。结果护理后两组疼痛视觉模拟评分、焦虑自评量表评分、抑郁自评量表评分、匹兹堡睡眠质量评分、生理应激皮质醇监测值、去甲肾上腺素监测值均显著降低,而其中研究组疼痛视觉模拟评分、焦虑自评量表评分、抑郁自评量表评分、匹兹堡睡眠质量评分、生理应激皮质醇监测值、去甲肾上腺素监测值显著低于对照组,差异有统计学意义(P<0.05)。研究组的护理满意度水平为98.00%比对照组的80.00%高,差异有统计学意义(χ^(2)=8.274,P=0.004)。研究组癌痛缓解时间(3.25±1.41)d短于对照组(5.56±2.17)d,差异有统计学意义(t=6.312,P<0.05)。研究组止痛药使用率低于对照组,研究组止痛药使用有8例,占16.0%,而对照组止痛药使用24例,占48.00%,差异有统计学意义(χ^(2)=11.765,P<0.05)。结论晚期肿瘤疼痛患者实施全方位疼痛护理干预模式效果确切,可减轻患者疼痛和焦虑抑郁情绪,并减轻对患者机体产生的不良生理应激,改善患者的睡眠质量,并减少止痛药物的使用,值得推广。
Objective To explore the pain nursing intervention mode and effect of patients with advanced cancer.Methods From January 2016 to August 2020,random selection 100 patients with advanced tumor pain in the hospital were randomly divided into two groups using a digital table.The control group was given routine nursing care,and the study group implemented a comprehensive pain nursing intervention model.Compared the two groups before and after nursing,pain visual analog score,anxiety self-rating scale score,depression self-rating scale score,Pittsburgh sleep quality score,physiological stress cortisol monitoring value,norepinephrine monitoring value,nursing satisfaction level,the time to relieve cancer pain,and the use rate of analgesics.Results After nursing,the two groups of pain visual analogue score,anxiety self-rating scale score,depression self-rating scale score,Pittsburgh sleep quality score,physiological stress cortisol monitoring value,and norepinephrine monitoring value were significantly reduced,and among them,the study group's pain visual analog score,anxiety self-rating scale score,depression self-rating scale score,Pittsburgh sleep quality score,physiological stress cortisol monitoring value,and norepinephrine monitoring value were significantly lower than those of the control group,the difference was statistically significant(P<0.05).The nursing satisfaction level of the study group was 98.00%higher than that of the control group 80.00%,the difference was statistically significant(χ^(2)=8.274,P=0.004).The cancer pain relief time of the study group was(3.25±1.41)d shorter than that of the control group(5.56±2.17)d,the difference was statistically significant(t=6.312,P<0.05).The use rate of analgesics in the study group was lower than that in the control group.The study group used analgesics in 8 cases,accounting for 16.0%,while the control group used analgesics in 24 cases,accounting for 48.00%,the difference was statistically significant(χ^(2)=11.765,P<0.05).Conclusion The comprehensive pain care in
作者
刘利春
毛宇红
LIU Lichun;MAO Yuhong(Department of Oncology,First People's Hospital of Xingning City,Xingning,Guangdong Province,514500 China)
出处
《中外医疗》
2021年第24期123-126,共4页
China & Foreign Medical Treatment
关键词
晚期肿瘤
疼痛护理
全方位疼痛护理干预模式
可行性
Advanced cancer
Pain care
Comprehensive pain care intervention model
Feasibility
