十堰市三级甲等医院癌痛患者疼痛控制结局的现状调查及影响因素分析  

Pain Control Outcome of Cancer Patients in the Grade-A Class-Ⅲ Hospital in Shiyan City and Its Influencing Factors

作　　者：郑艳[1] 田云 邓平基 李芳[4] 李敏[4] 夏圆圆 庄凤娟[5] ZHENG Yan;TIAN Yun;DENG Pinji;LI Fang;LIMin;XIA Yuanyuan;ZHUANG Fengjuan(Department of Nursing,Shiyan People's Hospital,Shiyan 442000,Hubei Province,China;School of Nursing,Hubei University of Medicine,Shiyan,442000,Hubei Province,China;School of Public Health Management,Hubei University of Medicine;Department of Tumor Center,Shiyan People' s Hospital;Department of Neurology,Shiyan People's Hospital)

机构地区：[1]十堰市人民医院护理部,湖北十堰442000 [2]湖北医药学院护理学院,湖北十堰442000 [3]湖北医药学院公共卫生与管理学院 [4]十堰市人民医院肿瘤中心 [5]十堰市人民医院神经内科二病区

出　　处：《解放军护理杂志》2019年第3期24-28,共5页Nursing Journal of Chinese People's Liberation Army

基　　金：湖北省教育厅科学技术研究项目基金(B2016503)

摘　　要：目的了解十堰市三级甲等医院癌痛患者疼痛控制结局的现状,并分析其影响因素。方法 2016年8月至2017年8月,采用整群抽样的方法,选取十堰市开设有肿瘤科的3所三级甲等医院收治的303例癌痛患者作为研究对象,使用一般资料调查表、美国疼痛协会患者结局问卷修订量表(American Pain Society Patient Outcome Questionnaire Modified)对其进行问卷调查。结果本组患者疼痛控制结局的4个指标中,疼痛程度、疼痛对患者影响、疼痛信念的平均得分均低于国内常模水平,疼痛控制满意度得分高于国内常模水平(均P<0.05)。多元线性回归分析结果显示,生活区域、文化程度为癌痛患者疼痛控制结局水平的影响因素,可解释总体变异的41.3%。结论十堰市三级甲等医院癌痛患者疼痛控制结局处于相对满意水平,护理管理者应根据患者不同的生活区域、文化程度加强对癌痛患者的规范化管理。Objective To understand the current situation of pain control outcomes of cancer patients in Shiyan hospital,and to analyze its influencing factors.Methods By using the cluster sampling method,303 cancer patients who met the inclusion criteria from August 2016 to August 2017 were selected and investigated by the general information questionnaire and the American Pain Society Patient Outcomes Questionnaire Modified.Results Among the four outcome indicators,the pain level,the effect of pain,the pain belief were lower than the domestic norm level in China,and the satisfaction of pain control was higher than the domestic norm level(all P<0.05).The multiple regression analysis showed that living area and education were the influencing factors of pain control outcome,which explained 41.3%of the total variance.Conclusions The pain control outcomes of cancer pain patients in Shiyan tertiary hospitals are relatively satisfactory.Nursing managers should strengthen the standardized management of cancer pain according to patients’different living areas and educational levels.

关 键 词：肿瘤 患者 生活质量 疼痛结局 

分 类 号：R473.73[医药卫生—护理学]