摘要
目的 探究三阶梯止痛法联合心理护理对脊柱转移瘤难治性癌痛患者的应用效果。方法 选取2020年1月至2022年12月浙江省丽水市中心医院收治的脊柱转移瘤难治性癌痛患者96例,采用随机数字表法将其分为常规干预组(48例)及联合干预组(48例)。常规干预组接受三阶梯止痛法联合常规护理干预;联合干预组在常规干预组的基础上联合心理护理干预。比较两组干预前后视觉模拟评分法(VAS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、医学应对问卷(MC-MQ)评分;比较两组干预后满意度评分。结果 干预后,两组VAS、SAS、SDS评分低于干预前,且联合干预组低于常规干预组,差异有统计学意义(P<0.05)。干预后,两组面对评分高于干预前,回避、屈服评分低于干预前,且联合干预组面对评分高于常规干预组,回避、屈服评分低于常规干预组,差异有统计学意义(P<0.05)。联合干预组疼痛管理、用药指导、心理干预、环境舒适度评分高于常规干预组,差异有统计学意义(P<0.05)。结论 三阶梯止痛法联合心理护理应用于脊柱转移瘤难治性癌痛患者具有较高的应用价值。
Objective To explore the application effect of three-step analgesia combined with psychological nursing in patients with refractory cancer pain induced by spinal metastases.Methods A total of 96 patients with refractory cancer pain induced by spinal metastases in Lishui Municipal Central Hospital of Zhejiang Province were enrolled from January2020 to December 2022.According to random number table method,they were divided into routine intervention group(48cases) and combined intervention group(48 cases).The routine intervention group was given three-step analgesia combined with routine nursing,while combined intervention group combined psychological nursing intervention on the basis of routine intervention group.The scores of visual analogue scale(VAS),self-rating anxiety scale(SAS),self-rating depression scale(SDS),and medical coping modes questionnaire(MC-MQ) between two groups were compared;and the satisfaction scores after intervention were compared between two groups.Results After intervention,the scores of VAS,SAS,and SDS of two groups were lower than those before intervention,and those of combined intervention group were lower than those of routine intervention group,and the differences were statistically significant(P<0.05).After intervention,the face score of two groups was higher than those before intervention,and the avoidance and submission scores were lower than those before intervention,and the face score of combined intervention group was higher than that of routine intervention group,and the avoidance and submission scores were lower than those of routine intervention group,and the differences were statistically significant(P<0.05).The scores of pain management,medication guidance,psychological intervention,and environmental comfort satisfaction in combined intervention group were higher than those in routine intervention group,and the differences were statistically significant(P<0.05).Conclusion The three-step analgesia method combined with psychological nursing has high application value in patie
作者
占云燕
林燕
吴珊珊
ZHAN Yunyan;LIN Yan;WU Shanshan(Cancer Center,Linshui Municipal Central Hospital,Zhejiang Province,Lishui 323000,China)
出处
《中国医药导报》
CAS
2024年第6期168-171,共4页
China Medical Herald
基金
浙江省医药卫生科技计划项目(2022ZH017)。
关键词
脊柱转移瘤
难治性癌痛
心理护理
三阶梯止痛法
Spinal metastasis
Refractory cancer pain
Psychological nursing
Three-step analgesia
