心理护理干预对多瑞吉治疗老年癌性疼痛疗效的影响  

Influence of psychological intervention on efficacy of durogesic treatment in the elderly cancer pain patients

作　　者：陈艳[1] 赖萍[1] 张霜美 易珑[1] 

机构地区：[1]四川省肿瘤医院头颈乳腺放疗科,成都610041

出　　处：《中国肿瘤临床与康复》2016年第2期219-222,共4页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的观察心理护理干预对多瑞吉治疗老年癌性疼痛疗效的影响。方法选取2013年1月至2014年10月间收治的晚期恶性肿瘤患者104例,按照随机数字表法分为观察组(54例)和对照组(50例)。两组患者均给予多瑞吉止痛治疗。观察组患者在常规护理方案的基础上给予心理干预,对照组患者仅给予常规护理方案。观察并比较两组患者治疗12 h后,疼痛缓解情况以及治疗后6d生活质量和不良反应等。结果治疗12 h后,观察组患者疼痛完全缓解38例(70.4%),总缓解54例(100.0%);对照组患者疼痛完全缓解25例(50.0%),总缓解43例(86.0%),两组患者疼痛完全缓解率、总缓解率比较,差异有统计学意义(P<0.05);治疗后6d,两组患者生活质量在疼痛强度、食欲、睡眠、情绪4个维度均有改善,与同组治疗前比较,差异均有统计学意义(均P>0.05),且观察组患者各维度改善更明显,与对照组治疗后比较,差异均有统计学差异(均P>0.05);观察组患者不良反应较少。结论心理护理干预可增强多瑞吉对老年癌性疼痛镇痛力度,有助于改善患者生活质量、减少不良反应,值得临床推广。Objective To observe the influence of psychological intervention on efficacy of duroge- sic treatment in the elderly cancer pain patients. Methods Totally 104 cases of elderly patients with severe cancer pain were randomly divided into the observation group （54 cases） and the control group （50 cases）. The patients in both the two groups accepted durogesic analgesic treatment. The patients in the observation group accepted psychological nursing program intervention based on routine treatment and the control group accepted routine nursing. The pain relief after 12 h of treatment, quality of life and adverse reactions after 6 d of treatment were observed. Results After 12 h of treatment, in the observation group, 38 cases （70. 4% ） achieved pain complete remission and 54 cases （100. 0% ） reached total remission. In the con- trol group, 25 cases （50. 0% ） achieved pain complete remission and 43 cases （86.0%） reached total re- mission. The pain complete remission rate and total remission rate of the two groups had significant differ- ence （P 〈0. 05） ; after 6 d of treatment, quality of life in pain intensity, appetite, sleep, mood of 4 dimen- sions of the both two groups improved; compared with the same group before treatment, there were statisti- cally significant differences （P 〉 O. 05 ）. Each dimension of the observation group improved more signifi- candy than those of the control group after treatment, with statistical differences （ P 〉 0. 05 ）. Meanwhile, the observation group had fewer adverse reactions. Conclusions Psychological intervention can improve theanalgesia of durogesic on treatment of elderly cancer pain patients and help to improve the quality of life of patients, reduce adverse reactions. It is is worthy of clinical promotion.

关 键 词：老年人 癌性疼痛 多瑞吉 心理干预 

分 类 号：R473.73[医药卫生—护理学]