摘要
目的:观察规范化评估指导下的多元化疼痛护理对改善胃癌患者生理及心理状态的效果。方法:选取2021年1月—2022年1月商丘市第一人民医院收治的123例胃癌患者作为研究对象,应用抽签法将其分为对照组(61例)和观察组(62例)。对照组患者仅实施常规护理+疼痛护理,观察组患者实施基于规范化评估下的多元化疼痛护理,护理前后的疼痛应激指标,睡眠质量、心理状态评分,及护理前及护理后1 d、7 d、14 d后的视觉模拟疼痛(VAS)评分变化情况,对所有患者开展为期1年随访,比较两组患者的远期生存质量。结果:护理后,观察组患者的血清P物质(SP)、前列腺素E2(PGE2)、神经生长因子(NGF),差异有统计学意义(t=5.708、2.078、4.165,P<0.05);匹兹堡睡眠质量指数(PSQI)评分、汉密顿焦虑量表(HAMA)评分、汉密顿抑郁量表(HAMD)评分低于对照组,差异有统计学意义(t=6.783、3.390、3.308,P<0.05);护理1 d、7 d、14 d后,观察组患者VAS评分均低于对照组,差异有统计学意义(t=5.275、5.947、6.278,P<0.05);随访期间,观察组患者的胃癌癌症患者生命质量测定量表(FACT-G)中生理状况(PWB)、社会/家庭状况(SWB)、情感状况(EWB)、功能状况(FWB)评分低于对照组,差异有统计学意义(t=5.232、3.485、5.671、4.111,P<0.05)。结论:规范化评估指导下的多维度疼痛护理可有效缓解胃癌患者的癌性疼痛,对促进患者生理、心理状态恢复并提升远期生存质量均有积极意义。
Objective:To observe the effect of diversified pain nursing under the guidance of standardized evaluation on improving the physiological and psychological status of patients with gastric cancer.Methods:123 patients with gastric cancer in the hospital from January 2021 to January 2022 were selected,and they were divided into control group(61 cases)and observation group(62 cases).The control group was given routine care+pain nursing.The observation group was given diversified pain care based on standardized evaluation.The physiological and psychological status,sleep quality,psychological scores and VAS scores before treatment,and 1 d,7 d and 14 d after treatment were compared.All patients were followed up for 1 year.The long-term quality of life of the two groups was compared.Results:After nursing,there was statistically significant difference in SP,PGE2 and NGF(t=5.708,2.078,4.165;P<0.05).Scores of PSQI,HAMA and HAMD were lower than control group,with statistically significant difference(t=6.783,3.390,3.308;P<0.05).The VAS score of observation group was lower than that of control group after 1 d,7 d and 14 d of nursing,(t=5.275,5.947,6.278;P<0.05).During follow-up,PWB,EWB and FWB of FACT-G of the observation group was lower than the control group,with statistically significant difference(t=5.232,3.485,5.671,4.111;P<0.05).Conclusion:Multi-dimensional pain nursing under the guidance of standardized evaluation can effectively relieve the cancer pain of patients with gastric cancer,and has positive significance in promoting the recovery of patients’physical and psychological status and improving their long-term quality of life.
作者
赵文杰
Zhao Wenjie(Department of Cancer,The First People’s Hospital of Shangqiu,Shangqiu,Henan,476000,China)
出处
《黑龙江医学》
2024年第14期1757-1759,共3页
Heilongjiang Medical Journal
关键词
胃癌
癌性疼痛
规范化评估
多维度疼痛护理
Gastric cancer
Cancer pain
Standardized evaluation
Multi-dimensional pain care
