护理干预对肝胆外科晚期恶性肿瘤患者癌性疼痛和生活质量的影响  

Effect of nursing intervention on alleviating the cancer pain and improving the life quality of advanced malignant tumor patients in the department of hepatobiliary surgery

作　　者：陈琼[1] 章华丽[1] 董咏梅[1] 

机构地区：[1]温州医科大学附属第二医院肝胆外科,325000

出　　处：《中华现代护理杂志》2014年第27期3468-3472,共5页Chinese Journal of Modern Nursing

摘　　要：目的：探讨癌痛护理干预对于缓解肝胆外科晚期恶性肿瘤患者癌性疼痛的应用效果和对其生活质量的影响。方法选取肝胆外科恶性肿瘤患者120例，按照患者入院时间分为对照组（ n＝60）和干预组（ n＝60）。对照组实施常规护理，干预组在常规护理的基础上实施癌痛护理干预。采用数字疼痛评分表（NRS）、癌症疼痛控制障碍问卷（BQ）和中文版癌症患者生命质量通用量表（FACTG）评价两组患者癌性疼痛程度、对癌痛自我控制障碍水平和生活质量的差异。结果干预后干预组与对照组的平均癌痛程度得分分别为（1．63±0．53），（3．14±0．87）分，最严重癌痛程度得分分别为（3．64±1．39），（4.89±1．78）分，两组比较差异均有统计学意义（t值分别为-2．453，-2．135；P＜0．05）。干预后干预组与对照组对癌痛自我控制障碍的总均分别为（1．08±0．32），（2．84±0．47）分，生活质量总均分分别为（3．56±1．03），（2．34±0．81）分，两组比较差异均有统计学意义（t值分别为-2．585，2．101；P＜0．05）。干预组患者平均住院时间为（14．57±5．13） d，对照组为（22．14±6．44） d，两组比较差异有统计学意义（ t＝-7．974，P＜0．01）。结论癌痛护理干预能有效地缓解肝胆外科晚期恶性肿瘤患者的癌性疼痛，提高患者癌痛自我控制水平和生活质量，能有效缩短患者的住院日期，建议将其进一步推广应用。Objective To explore the effect of nursing intervention on alleviating the cancer pain and improving the life quality of advanced malignant tumor patients in the department of hepatobiliary surgery . Methods One hundred and twenty patients with advanced malignant tumor in the department of hepatobiliary surgery were chosen and divided into the control group and the intervention group according to the admission time, each with 60 cases.The control group received the routine nursing , and the intervention group received the cancer pain nursing intervention on the basis of the routine nursing .The degree of cancer pain , the level of self-control disorder for the cancer pain and life quality was compared between two groups .Results The average scores of the degree of cancer pain were respectively （1.63 ±0.53）, （3.14 ±0.87） in the intervention group and the control group, and the scores of most serious degree of cancer pain were respectively （3.64 ±1.39）, （4.89 ±1.78） in two groups, and the differences were statistically significant （t =-2.453, -2.135, respectively;P〈0.05）.The scores of the level of self -control disorder for the cancer pain were respectively （1.08 ±0.32）,（2.84 ±0.47） in the intervention group and the control group , and the scores of life quality were respectively （3.56 ±1.03）,（2.34 ±0.81） in two groups, and the differences were statistically significant （t =-2.585,2.101, respectively;P 〈0.05）.The average hospital time was （14.57 ±5.13） d in the intervention group , and was （ 22 .14 ±6 .44 ） d in the control group , and the difference was statistically significant （t=-7.974,P〈0.01）.Conclusions The nursing intervention can effectively relieve cancer pain in the advanced malignant tumor patients in the department of hepatobiliary surgery , and improve their levels of self-control for the cancer pain and life quality , and shorten the hospital time , and is worthy of further clinical promotion and application .

关 键 词：护理干预 癌性疼痛 生活质量 肝胆外科 

分 类 号：R473.73[医药卫生—护理学]