多维度护理干预对恶性肿瘤患者心理痛苦的效果观察  

Efficacy of multidimensional nursing for psychological distress in patients with cancer

作　　者：张正芳[1] 何珺[1] 陈华英[1] 殷文蓉[1] ZHANG Zheng-fang;HE Jun;CHEN Hua-ying;YIN Wen-rong(The First Ward of Oncology, West China Hospital Affiliated to Sichuan University, Chengdu 610041, China)

机构地区：[1]四川大学华西医院肿瘤一病房,成都610041

出　　处：《中国肿瘤临床与康复》2018年第4期468-471,共4页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨多维度护理干预对恶性肿瘤患者疼痛感及心理痛苦的影响。方法选取2015年1月至2016年2月间四川大学华西医院收治的248例恶性肿瘤患者,采用随机数表法将患者分为观察组和对照组,每组124例。观察组患者在常规护理基础上施以多维度护理干预,对照组患者给予常规护理,观察比较两组患者护理前后的心理痛苦检出率、心理痛苦温度计(DT)评分、行为功能状态量表(KPS)评分及生活质量量表(QLQ-C30)评分。结果入院时,两组患者心理痛苦检出率和各量表评分比较,差异无统计学意义。出院时,观察组患者的心理痛苦检出率、DT评分及数字痛觉评分均低于对照组患者,且KPS评分高于对照组患者,差异均有统计学意义(均P<0.05)。出院时,观察组与对照组相比,除了QLQ-C30量表中的经济困难指标,其余心理痛苦检出率和各量表评分较对照组优,且观察组患者总体健康评分高于对照组患者,差异均有统计学意义(均P<0.05)。结论多维度护理干预手段可明显缓解恶性肿瘤患者疼痛及心理痛苦,改善患者生活质量和行为功能状态。Objective To explore the efficacy of multidimensional nursing for psychological distress in patients with cancer. Methods A total of 248 patients with cancer treated at West China Hospital Affiliated to Sichuan University from January 2015 to February 2016 were selected and randomly divided into an observation group and a control group using a random number table with 124 in each group. The observation group received multidimensional nursing intervention and the control group received conventional nursing.The rate of psychological distress detection rate,distress thermometer（ DT） scores,KPS scores and quality of life（ QLQ-C30） scores were compared between the two groups before and after intervention. Results At admission,there was no significant difference in the detection rate of psychological distress and scale scores between the two groups（ P〉0. 05）. At discharge,the detection rate of psychological distress and DT were lower in the observation group than in the control group and the Karnofsky performance status（ KPS） score was higher in the observation group than in the control group（ all P〈0. 05）. At discharge,the detection rate of psychological distress and each index were superior for the observation group to the control group except for economic difficulties of QLQ-C30 scale. After intervention,the overall health score was higher in the observation group than in the control group（ P〈0. 05）. Conclusion Multidimensional nursing intervention can significantly relieve the pain and psychological distress and improve quality of life and behaviors in patients with cancer.

关 键 词：多维度 干预 恶性肿瘤 心理痛苦 量表 

分 类 号：R730.5[医药卫生—肿瘤]