疼痛教育对晚期癌痛病人疼痛控制及睡眠质量的影响  

Effect of Pain Education on Pain Control and Quality of Sleep for Patients with Advanced Cancer

作　　者：许艳[1] 徐振[2] 刘娟娟[2] 周宁[2] 

机构地区：[1]中国.中国人民解放军总医院南楼心内科1号楼一病区,北京100853 [2]解放军第四五四医院疼痛科,江苏南京210002

出　　处：《中国健康心理学杂志》2016年第7期1056-1059,共4页China Journal of Health Psychology

摘　　要：目的：探讨和分析疼痛教育在晚期癌痛病人中的临床应用意义。方法：选择2012年3月至2014年3月期间在我院进行治疗的晚期癌痛患者作为临床研究对象，采用随机数字表法将入选研究对象随机分为研究组和对照组各45例。两组晚期癌痛患者均给予规范的癌症疼痛治疗与常规护理干预，对照组给予常规健康教育，研究组则在对照组基础上再给予系统的疼痛教育方案，并分别对研究组与对照组患者的疼痛控制情况和睡眠质量变化情况予以比较和分析。结果：与对照组相比，研究组患者经教育后的数学评分（NRS）值（2．41±1．25）显著降低、爆发痛次数（2．15±1．10）次／天明显减少，并且两组间比较差异均具有统计学意义（t ＝6．996，4．490；P ＜0．05）；研究组患者睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物和日间功能等睡眠质量指标均显著改善，匹兹堡睡眠质量指数量表的总分值（8．86±2．05）分明显降低，并且两组间比较差异均具有统计学意义（t ＝3．014，3．209，3．144，3．370，4．943，4．114，3．034，3．744；P ＜0．05）；研究组患者对护理服务的满意度（97．92％）显著提升，并且两组间比较差异具有统计学意义（χ2＝10．766，P ＜0．05）。结论：疼痛教育能够使晚期癌痛病人的疼痛症状得以有效控制，睡眠质量进一步改善，可作为晚期癌痛病人的辅助治疗予以临床推广和应用。Objective ：To probe into clinical application value of pain education on pain control and quality of sleep for patients with advanced cancer .Methods ：From March 2012 to March 2014 ,patients with advanced cancer were treated in our hospital .The patients were divided into study group and the control group randomly by number table . There were 45 cases in each group .The patients with advanced cancer in two groups were given standard cancer pain treatment and routine nursing intervention .The patients in control group were received conventional health education . The patients in study group were received system pain education program .The pain control conditions and changes in sleep quality situation of the patients in two groups were compared and analyzed .Results ：Compared with control group ,the patients in study group after education had decreased NRS score （2 .41 ± 1 .25）and the number of break‐through pain reduced significantly （2 .15 ± 1 .10）times / d ,the differences were significant statistically （t = 6 .996 , 4 .490 ;P 〈 0 .05） .The sleep quality indicators ,such as sleep quality ,sleep latency ,sleep duration ,sleep efficiency , sleep disorders ,hypnotic drugs and daytime function were improved significantly and the total score of the Pitts ‐burgh Sleep Quality Index scale was （8 .86 ± 2 .05）points ,all the differences were significant statistically （t = 3 .014 , 3 .209 ,3 .144 ,3 .370 ,4 .943 ,4 .114 ,3 .034 ,3 .744 ;P 〈 0 .05） .The proportion of satisfaction to nursing service increased to 97 .92% （47/48） ,and the ratio of not satisfied decreased to 2 .08% （1/48） ,the differences were significant statisti‐cally（χ2 = 10 .766 ,P 〈 0 .05） .Conclusion ：Pain education can make the pain symptoms of advanced cancer patients be controlled effectively ,and further improve the quality of sleep .It can be applied in clinical practice and as an adjunct treatment for patients with advanced cancer .

关 键 词：疼痛教育 晚期癌痛 疼痛控制 睡眠质量 

分 类 号：R395.6[哲学宗教—心理学]