癌痛护理团队在老年人癌痛应用中的效果观察  

The application effect of the cancer pain nursing team in the elderly cancer patients

作　　者：董卫红[1] 王黎梅[2] 朱丽萍[2] 田陈红[2] 陆蕾[1] 

机构地区：[1]嘉兴市第一医院大外科,浙江省嘉兴314000 [2]嘉兴市第一医院疼痛科,浙江省嘉兴314000

出　　处：《中国基层医药》2016年第13期1951-1954,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省中西医结合疼痛医学重点学科建设计划项目（2012.XK-A31）;浙江省嘉兴市疼痛医学重点科技创新团队项目（2011-CX-02）

摘　　要：目的：探讨癌痛护理团队在老年癌痛患者疼痛规范化护理干预中的作用。方法选取疼痛科收治的患者76例为研究对象，采用数字表法随机分为对照组和观察组，每组各38例。对照组患者仅给予常规疼痛治疗和护理，观察组接受癌痛护理团队常规疼痛治疗和护理，护理内容与对照组一致，护理方式不同。比较两组癌痛患者干预前后疼痛强度、镇痛药不良反应以及对医疗护理的满意度。结果护理干预前，两组疼痛评分差异无统计学意义（P ＞0．05）；护理干预后，观察组疼痛评分为1．5（1，2）分，低于对照组的2（1，3）分，观察组镇痛效果优于对照组（Z ＝－4．385，P ＝0．000）；观察组药物不良反应发生率为13．16％，低于对照组的47．37％，两组差异有统计学意义（χ2＝10．537，P ＝0．001）；观察组对医疗护理过程的总体评价满意度为（9．74±0．45）分，高于对照组的（9．42±0．76）分（t ＝2．213，P ＝0．030）。结论通过癌痛护理团队对老年癌痛患者实施规范化护理干预可有效缓解躯体疼痛程度，药物不良反应少，患者满意度高。Objective To explore the effect of the cancer pain nursing team in standardized nursing inter-vention of pain in elderly cancer patients.Methods 76 patients in Department of Pain in our hospital were selected in our research.A random number table method was used to divide them into the control group and the observation group,with 38 cases in each group.Conventional treatment and nursing care was given to control group.The observa-tion group received routine treatment and nursing care by cancer pain nursing team,which the content of nursing was same,but the nursing method is different.Before and after the intervention,impact on pain intensity,adverse reactions and satisfaction for medical and nursing were compared between the two groups.Results Before nursing intervention, the pain score between the two groups had no statistically significant difference（P 〉0.05）.After nursing interven-tion,pain score of the observation group was 1.5 （1,2）points,which was lower than 2（1,3）points in the control group,the observation group had better analgesic effect than the control group （Z = -4.385,P =0.000）.The incidence rate of adverse reaction of the observation group was 13.16%,which was lower than 47.37% of the control group,the difference between the two groups was statistically significant（χ2 =10.537,P =0.001）.The satisfaction for medical nursing process in the observation group was （9.74 ±0.45 ）points,which was higher than （9.42 ± 0.76）points of the control group （t =2.213,P =0.030）.Conclusion For senile cancer patients,the cancer pain nursing team could implement the standardized nursing intervention to relieve the body pain level,reduce the adverse drug reactions,so as to improve the quality of life.

关 键 词：癌痛 肿瘤 护理 管理 

分 类 号：R473.73[医药卫生—护理学]