认知干预联合奥施康定控制癌痛的临床疗效研究  

Clinical Effects of Cognitive Interventions Combined with OxyContin in the Treatment of Cancer Pain

作　　者：龙玲[1] 王翠琴[1] 周小珍[1] 李翠[1] 王博[1] 

机构地区：[1]广东省农垦中心医院化疗六区,广东湛江524002

出　　处：《肿瘤药学》2016年第2期154-157,共4页Anti-Tumor Pharmacy

摘　　要：目的分析认知干预联合奥施康定控制癌痛的临床疗效。方法将我科收治的80例采用奥施康定治疗的癌痛患者随机分成观察组和对照组,各40例,对照组采用常规癌痛护理管理方法,观察组患者在常规癌痛管理的基础上配合认知干预。评估和比较两组患者的癌痛控制效果、使用奥施康定的顾虑、服用奥施康定的依从性和生活质量评分的改善情况。结果观察组患者的癌痛控制效果、使用奥施康定没有顾虑的患者百分比、遵医嘱按时按量服药的人数百分比及生活质量评分均显著优于对照组患者,差异有统计学意义(P<0.05)。结论认知干预能使癌痛患者对使用奥施康定的顾虑降低,提高患者的依从性,增强药物对癌痛的控制效果,并明显改善患者的生活质量。Objective To analyze the clinical effects of Oxy Contin combined with cognitive nursing intervention on cancer pain. Methods A total of 80 patients with cancer pain in our department were randomized and divided into the observation group and the control group with 40 cases respectively. The control group was nursed by the conventional pain management, while the observation group was treated by cognitive intervention on the base of conventional method. The control effect of cancer pain, the concerns and compliance of using Oxy Contin, and quality of life were compared between the two groups. Results After treatment, the control effect of cancer pain, the percentage of patients using Oxy Contin without fear and those taking Oxy Contin compliantly and the quality of life scores were all significantly better in the observation group than in the control group. The differences were statistically significant（P0.05）. Conclusions Cognitive intervention could reduce the scruples of patients treated by Oxy Contin, improve their compliance, thereby enhance the effects of Oxy Contin on cancer pain and improve the quality of life.

关 键 词：奥施康定 认知干预 癌痛 生活质量 

分 类 号：R730.5[医药卫生—肿瘤]