老年恶性肿瘤患者疼痛管理的效果研究  

Study on the effect of pain management in elderly patients with malignant tumors

作　　者：李超[1] 叶春花[2] 徐雯[2] LI Chao;YE Chunhua;XU Wen(Department of Integrated Services, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100043, China;Department of Nursing, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100043, China)

机构地区：[1]首都医科大学附属北京朝阳医院西院综合科,北京100043 [2]首都医科大学附属北京朝阳医院西院护理部,北京100043

出　　处：《癌症进展》2019年第4期486-489,共4页Oncology Progress

摘　　要：目的探索老年恶性肿瘤患者疼痛管理的临床效果。方法选取180例老年恶性肿瘤疼痛患者作为研究对象,其中,选取就诊于2014年6月至2015年12月的患者作为常规组,选取就诊于2016年1月至2017年6月的患者作为观察组,每组90例。常规组患者采用常规管理,观察组患者采用个体化管理。比较两组患者干预前后的疼痛评分、情绪状况评分[汉密尔顿焦虑量表(HAMA)和汉密顿抑郁量表(HAMD)评分]和生活质量评分。结果干预后,两组患者的疼痛评分均低于本组干预前(P﹤0.05),且观察组患者的疼痛评分明显低于常规组(P﹤0.01)。在应用镇痛药物人数方面,常规组(71例)多于观察组(59例)(P﹤0.05)。在应用镇痛药物的患者中,用药12 h后,观察组患者的疼痛评分明显低于常规组(P﹤0.01)。干预后,两组患者的HAMA评分和HAMD评分均低于本组干预前(P﹤0.05)。干预后,观察组患者HAMA评分和HAMD评分均明显低于常规组患者(P﹤0.01)。SF-36调查结果显示:观察组和常规组患者干预后的36项短式健康调查问卷(SF-36)评分分别为(56.2±6.1)分、(52.1±5.5)分,均明显高于本组干预前的(42.4±5.9)分、(42.7±5.6)分(P﹤0.01)。干预后,观察组患者的SF-36评分明显高于常规组患者(P﹤0.01)。结论个体化管理能够明显改善老年恶性肿瘤患者的疼痛情况,缓解患者的焦虑和抑郁情绪,改善患者的生活质量,值得临床广泛应用。Objective To explore the clinical effects of pain management in elderly patients with malignant tumors. Method A total of 180 elderly patients with malignant tumor pain were included in the study. Patients who were admitted to the hospital during June 2014 to December 2015 were recruited as the conventional therapy group, and those who were admitted from January 2016 to June 2017 were assigned as study group, and each group contained 90 cases. Patients in the conventional therapy group were administered with routine management, and patients in the study group were individually managed. Pain scores, emotional status scores measured by Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD), and quality of life score before and after intervention were compared between the two groups. Result After intervention, the pain scorein each group was lower than that before intervention (P<0.05), and the pain score of study group was significantly lower than that of the conventional therapy group (P<0.01). The number of patients who asked for analgesics was significantly more in the conventional therapy group (71 cases) than that in the study group (59 cases)(P<0.05). In patients who received analgesics, the pain score of study group wassignificantly lower compared with conventional therapy group in 12 h after medication (P<0.01). The HAMA and HAMD scores of the study group and conventional therapy group gained significant decrease compared with that before intervention. Besides, lower HAMA and HAMD scores were observed in study group than in conventional therapy group after intervention (P<0.01). The results of SF-36 showed that, the post- intervention SF-36 scores of study group and conventional therapy group were (56.2±6.1) and (52.1±5.5), which were significantly higher than those before the intervention in each group at (42.4±5.9) and (42.7±5.6), respectively (P<0.01). After the intervention, the SF-36 score of study group was significantly higher than that of the conventional therapy group (P<0.01). Conc

关 键 词：老年 恶性肿瘤 疼痛 管理 

分 类 号：R730[医药卫生—肿瘤]