规范化癌痛护理联合舒缓护理对恶性肿瘤患者放疗期间癌痛控制及生命质量的临床观察

来源:用户上传      作者:贺婷婷 贝宴屏

　　[摘要] 目的 探规范化癌痛护理联合舒缓护理对恶性肿瘤患者放疗期间癌痛控制及生命质量的临床观察。 方法 收集2019年6月至2020年6月在宁波市医疗中心李惠利医院放疗科收治的83例恶性肿瘤患者作为研究对象。为避免干预措施交叉影响，将先入院的42例患者作为对照组，再将后入院的41例患者作为观察组。对照组给予规范化癌痛护理，观察组给予规范化癌痛护理联合舒缓护理。分析比较两组患者的满意率、癌痛治疗效果、生命质量及焦虑抑郁评分。结果 观察组患者的满意率为82.93%，高于对照组的54.76%（P<0.05）;观察组患者的癌痛总缓解率为82.93%，高于对照组的54.76%（P<0.001）;观察组的生理状况、功能状况和情感状况评分明显高于对照组（P<0.05），家庭社会状况评分未见明显差异（P>0.05）;观察组的焦虑自评量表、抑郁自评量表评分明显低于对照组（P<0.05）。 结论 规范化癌痛护理联合舒缓护理可以更加有效地缓解癌痛，改善患者的生命质量，并减少患者的负面情绪，增加患者对医护人员的满意程度，得到了患者的广泛认可。
　　[关键词] 规范化癌痛护理;舒缓护理;癌痛;生命质量
　　[中图分类号] R473.7 [文献标识码] B [文章编号] 1673-9701（2022）02-0181-04
　　Clinical observation on the standardized cancer pain nursing combined with palliative nursing on cancer pain control and quality of life during radiotherapy for malignant tumor
　　HE Tingting1 BEI Yanping2
　　1.Department of General Rehabilitation， Lihuili Hospital of Ningbo Medical Center， Ningbo 315000， China; 2.Department of Radiotherapy， Ningbo Medical Center Lihuili Hospital， Ningbo 315000， China
　　[Abstract] Objective To investigate the clinical observation on the standardized cancer pain nursing combined with palliative nursing on cancer pain control and quality of life （QoL） during radiotherapy for malignant tumor. Methods A total of 83 patients with malignant tumor admitted to and treated in the department of radiotherapy of Lihuili Hospital of Ningbo Medical Center from January 2019 to December 2020 were selected. They were randomly divided into the observation group （n=41） and the control group （n=42）. The observation group was treated with standardized cancer pain nursing combined with palliative nursing， while the control group was treated with standardized cancer pain nursing. The satisfaction， cancer pain therapeutic efficacy， QoL， anxiety and depression scores of the two groups were counted， and the statistical results were analyzed. Results The satisfaction of patients in the observation group was 82.93%， which was higher than 54.76% in the control group （P<0.05）. The total remission rate of cancer pain in patients of the observation group was 82.93%， which was higher than 54.76% in those of the control group （P<0.001）. Before nursing intervention， there were no statistically significant differences in the scores of physiological status， functional status， emotional status and family-social status between the observation group and the control group （P>0.05）. After nursing intervention， the scores of physiological status， functional status and emotional status in the observation group were significantly higher than those in the control group （P<0.05）， but there was no significant difference in the scores of family-social status （P>0.05）. Before nursing intervention， there was no significant difference in the scores of Self-Rating Anxiety Scale （SAS） and Self-Rating Depression Scale （SDS） between the observation group and the control group （P>0.05）. After nursing intervention， the scores of SAS and SDS in the observation group were significantly lower than those in the control group （P<0.05）. Conclusion Standardized cancer pain nursing combined with palliative nursing can remit cancer pain more effectively， improve the QOL of patients， reduce the negative emotions of patients and increase the satisfaction of patients with medical staff， which has been widely recognized by patients.
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