药学服务对治疗癌症疼痛的影响研究  

Study on the effect of pharmaceutical services on the treatment of cancer pain

作　　者：李艳芳 张卫[1] 陈丽英[1] 陈昌南[2] 潘岐作[2] 谭斌 房济 LI Yan-fang;ZHANG Wei;CHEN Li-ying(Jiangmen Second People’s Hospital,Jiangmen 529030,China)

机构地区：[1]江门市第二人民医院,529030 [2]南方医科大学附属新会人民医院 [3]江门市台山市中医院

出　　处：《中国现代药物应用》2018年第7期92-94,共3页Chinese Journal of Modern Drug Application

基　　金：2017年江门市卫生系统科技项目(项目编号:17A033)

摘　　要：目的探讨药学服务对治疗癌症疼痛的影响。方法 66例老年癌症疼痛患者,随机分为对照组和临床药学服务组,各33例。对照组患者采用医师常规治疗,临床药学服务组患者在医师常规治疗基础上,由临床药师按照癌痛规范化治疗原则治疗。比较两组效果。结果治疗前,两组患者疼痛强度评分法(NRS)评分比较,差异无统计学意义(P>0.05);两组患者治疗后NRS评分明显低于治疗前(P<0.05),且临床药学服务组患者NRS评分明显低于对照组(P<0.05)。治疗后,临床药学服务组患者生存质量明显改善12例、改善16例、稳定5例、降低0例、明显降低0例,对照组生存质量明显改善5例、改善12例、稳定16例、降低0例、明显降低0例,临床药学服务组患者生存质量改善情况明显优于对照组(P<0.05)。临床药学服务组患者疼痛处理满意度为72.72%,明显高于对照组的48.48%,差异具有统计学意义(P<0.05)。结论在医师常规治疗基础上,辅助临床药学服务,可以降低癌症患者的疼痛强度评分,改善患者的生活质量评分,提高患者对于疼痛处理的满意度,值得推广应用。Objective To discuss the effect of pharmaceutical services on the treatment of cancer pain.Methods A total of 66 senile patients with cancer pain were randomly divided into control group and clinical pharmaceutical services group,with 33 cases in each group.The control group received physician conventional therapy,and the clinical pharmaceutical services group received cancer pain standardized treatment principles on the basis of conventional therapy.The effect in two groups was compared.Results Before treatment,both groups had no statistically significant difference in numerical rating scale(NRS)score(P>0.05).Both groups had obviously lower NRS score after treatment than before treatment(P<0.05),and clinical pharmaceutical services group had obviously lower NRS score than the control group(P<0.05).After treatment,clinical pharmaceutical services group had 12 obviously improved cases in quality of life,16 improved cases,5 stable cases,0 decreased case and 0 obviously decreased case,which were 5,12,16,0 and 0 case in the control group.The clinical pharmaceutical services group had obviously better improvement of quality of life than the control group(P<0.05).Clinical pharmaceutical services group had obviously higher pain management satisfaction as 72.72%than 48.48%in the control group,and the difference was statistically significant(P<0.05).Conclusion On the basis of conventional therapy,clinical pharmaceutical services can reduce the pain intensity score of cancer patients,improve their quality of life and pain management satisfaction.It is worthy of popularization and application.

关 键 词：药学服务 癌症疼痛 生活质量 

分 类 号：R730.5[医药卫生—肿瘤]