综合医院创建无痛病房对癌痛患者生存质量改善的临床研究  

Clinical study of creating painless ward in the comprehensive hospital on quality of life of patients with cancer pain

作　　者：陈春贤[1] 梁志翔[1] 林贵南[1] 范晓兰[1] 曾慧美[1] 余鹤英[1] 刘永钟[1] 

机构地区：[1]广东省中山市人民医院肿瘤化疗科,广东中山528403

出　　处：《中国医药科学》2015年第21期131-133,共3页China Medicine And Pharmacy

基　　金：广东省中山市科技计划项目(20122A074)

摘　　要：目的探讨综合医院创建无痛病房对癌痛患者生存质量改善的影响。方法选择2011年8月~2013年8月因癌痛到我院就诊的患者600例,按照随机数字表法分为对照组300例和实验组300例。对照组行传统护理干预,实验组创建＂无痛病房＂,行规范化癌痛干预,对比两组癌痛缓解情况和生存质量。结果实验组在癌痛部分缓解率、完全缓解率分别为41.7%、49.6%,明显高于对照组的21.0%、18.0%（x2=29.777,P〈0.01;x2=67.191,P〈0.01）。干预后,实验组、对照组QOL评分均高于干预前（t=40.151,P〈0.01;t=65.514,P〈0.01）;干预后,实验组QOL评分显著高于对照组（t=30.199,P〈0.01）。结论在癌痛患者中,创建无痛病房,实施规范化癌痛干预可以有效地缓解癌痛,提高生存质量。Objective To investigate effect of creating painless ward in the comprehensive hospital on quality of life of patients with cancer pain. Methods 600 patients with cancer pain in our hospital from August 2011 to 2013 August were selected,and were randomly divided into control group 300 cases and experimental group 300 cases according to the random number table method.The control group was given traditional nursing intervention,while the experimental group created ＂painless ward＂ and was given standardized pain intervention.Pain relief and quality of life in two groups was compared. Results Partial remission rate and complete pain remission rate in the experimental group were 41.7%,49.6% respectively,which were higher than those of control group of 21.0%,18.0%（x2=29.777, P〈0.01;x2=67.191,P〈0.01）.After intervention,QOL scores of experimental group and control group were higher than those before the intervention（t=40.151,P〈0.01;t=65.514,P〈0.01）.After intervention,QOL scores of experimental group were higher than that of control group（t=30.199,P〈0.01）. Conclusion In patients with cancer pain,creating painless ward and the implementation of standardized pain intervention can effectively relieve pain,improve quality of life.

关 键 词：癌痛 综合医院 无痛病房 生存质量 QOL评分 

分 类 号：R473.73[医药卫生—护理学]