自我效能干预对门诊癌痛患者疼痛程度及生活质量的影响  

The influence of self-efficiency interventions on pain severity and quality of life in outpatients with cancer pain

作　　者：钟灵[1] 张大铮[1] 周玲[1] 

机构地区：[1]都江堰市人民医院二诊疗区门诊部,四川都江堰611830

出　　处：《癌症进展》2015年第6期654-657,共4页Oncology Progress

摘　　要：目的探讨自我效能干预对门诊癌痛患者疼痛程度及生活质量的影响。方法以门诊收治的118例中重度癌痛患者作为研究对象,采用随机数字表法分为观察组和对照组,每组各59例。两组患者均给予规范的癌痛治疗与常规护理,观察组患者在此基础上实施自我效能干预。两组患者均于干预前后分别采用数字评定量表及生活质量评价量表对患者的自我疼痛强度及生活质量进行评估和比较分析。结果干预后观察组NRS评分为(3.54±1.02)分,对照组NRS评分为(5.11±1.31)分,组间比较,观察组明显低于对照组,差异有统计学意义(P<0.05),其中观察组轻度疼痛患者明显增加,而重度疼痛患者明显减少,差异有统计学意义(P<0.05);干预后观察组疼痛缓解达CR的多于对照组患者,而NR人数则少于对照组,差异有统计学意义(P<0.05);干预后观察组和对照组患者的生活质量评分分别为(38.22±1.34)分和(36.88±1.07)分,相比干预前均有明显增长,且组间比较观察组生活质量评分高于对照组,差异均有统计学意义(P<0.05)。结论采用自我效能干预能有效缓解癌痛患者的疼痛程度,提高患者的生活质量。Objective To study the influence of self-efficiency interventions on pain severity and quality of life （QoL） in outpatients with cancer pain. Method A total of 118 cases of patients with moderate and severe cancer pain were included in this study, and were randomized into either observation group or control group according to random number table, with 59 cases in each. Both groups were administered with standard procedures for pain man-agement and routine nursing care, while the self-efficiency interventions were implemented for the observation group. The number rating scale （NRS） and QoL scale were used before and after the conduct of those interventions for both groups to evaluate patients ’self-reported pain severity and QoL results. Result The NRS score of the observation group after intervention was （3.54 ± 1.02）, and was （5.11 ± 1.31） in the control group, and significant differences were observed between the groups （P 〈 0.05）, while the number of patients with mild pain was increased, and those with severe pain were decreased in the observation group, which were both significant changes （P 〈 0.05）; There were more patients achieving CR after intervention in the observation group than that of the control group, and the number of patients with NR were decreased significantly in the observation group （P 〈 0.05）; The QoL scores of the observa-tion group and control group after intervention were （38.22 ± 1.34） and （36.88 ± 1.07）, respectively, which were in-creased significantly as compared with before intervention, besides, the QoL score of observation group was signifi-cantly higher than that of the control group （P 〈 0.05）. Conclusion The self-efficiency interventions effectively re-lieve the pain in patients with cancer pain, and improve the patient ’s quality of life.

关 键 词：癌症 疼痛 生活质量 自我效能 

分 类 号：R730[医药卫生—肿瘤]