系统性护理干预对中重度癌痛患者及家属生活质量的影响  

Effect of systematic nursing intervention on quality of life in patients with moderate to severe cancer pain

作　　者：王芳[1] 伊艳丽[2] 姚华强[3] 康震[4] 杜志超[4] 

机构地区：[1]河北工程大学附属医院呼吸科 [2]河北工程大学附属医院胸外科 [3]邯郸市第一医院内分泌科 [4]河北工程大学医学院,邯郸056002

出　　处：《中国肿瘤临床与康复》2017年第8期1018-1022,共5页Chinese Journal of Clinical Oncology and Rehabilitation

基　　金：河北省邯郸市科学技术研究与发展计划项目(1223108089-3)

摘　　要：目的探讨系统性护理干预对中重度癌痛患者及家属生活质量的影响。方法选取2013年9月至2015年7月间河北工程大学附属医院收治的94例肺癌晚期伴中重度癌痛患者,采用随机数表法分为观察组与对照组,每组47例。观察组患者给予系统性护理干预,对照组患者给予常规护理,干预一个月后,比较两组患者的癌痛缓解程度、依从性和治疗满意程度,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对患者焦虑和抑郁程度进行评价,并比较两组患者和家属的生活质量与心理状态。结果经过系统性护理干预后,观察组患者的依从性、癌痛缓解有效率及对治疗的总满意率,均显著高于对照组患者,两组组间比较,差异有统计学意义(P<0.05);两组患者疼痛视觉模拟评分表(VAS)、SAS和SDS评分均明显下降,且观察组各指标下降更明显,组间比较,差异有统计学意义(P<0.05);组内治疗前后比较,两组患者的食欲、睡眠、精神状态、日常活动、抑郁、焦虑、恐惧、消极和自信程度均有显著改善,差异有统计学意义(P<0.05);组间治疗后比较,除食欲外的上述指标均表现为观察组好于对照组,组间比较,差异有统计学意义(P<0.05);家属生活质量与心理状态治疗后比较,全部指标均表现为观察组好于对照组,差异有统计学意义(P<0.05)。结论系统性护理干预能改善中重度癌痛患者的依从性,缓解癌痛,提高患者的治疗满意度,并提高患者和家属的生活质量。Objective To explore the effect of systematic nursing intervention on quality of life in patients with moderate to severe cancer pain. Methods From September 2013 to July 2015, 94 patients with advanced lung cancer complicated with moderate to severe pain were selected at Affiliated Hospital of Hebei University of Engineering and divided into an observation group and a control group with 47 patients in each group. The observation group was given systematic nursing intervention and the control group re- ceived routine care. A month later, degree of pain relief, compliance and satisfaction with treatment were compared between the two groups. Self-rating anxiety scale （SAS） and self-rating depression scale （SDS） were used to evaluate the degree of anxiety and depression. Quality of life and psychological state of the pa- tients and their families were compared. Results After the systematic nursing intervention, compliance, cancer pain relief rate and overall satisfaction rate with treatment were significantly better in the observation group than in the control group （ P 〈 0. 05 ）. The value-added service （ VAS ）, anxiety self-rating scale （SAS） and depression self-rating scale （SDS） scores significantly decreased in both groups with each indexdecreased more significantly in the observation group （ P 〈 0. 05 ）. Appetite, sleep, mental state, daily ac- tivities, depression, anxiety, fear, depression and self-confidence significantly improyed after nursingin both groups （P 〈 0.05）. After treatment, indexes were better in the observation group than in the control group except appetite （P 〈0. 05）. For quality of life and psychological？ status, the observation group was better than in the control group （P 〈 O. 05 ）. Conclusion Systematic nursing intervention can improve compli- ance, relieve cancer pain, improve patients＇ satisfaction and improve quality of life in patients with moderate to severe cancer pain.

关 键 词：护理干预 癌痛 家属 生活质量 

分 类 号：R473.73[医药卫生—护理学]