基于健康赋权理念的癌痛患者自我管理干预效果研究  

Effect of self-management intervention based on the concept of health empowerment in cancer pain patients

作　　者：孙丽丽[1] 明洁[1] 魏玉玲 冷敏[2] SUN Lili;MING Jie;WEI Yuling;LENG Min(Department of Comprehensive Treatment for Cancer;Department of Cardiology,The Affiliated Hospital of Qingdao University,Qingdao,Shandong,266555)

机构地区：[1]青岛大学附属医院肿瘤综合治疗科,山东青岛266555 [2]青岛大学附属医院心内科,山东青岛266555

出　　处：《中西医结合护理（中英文）》2020年第5期150-153,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨基于健康赋权理念的癌痛患者自我管理干预的应用效果。方法选取2019年1月-6月在肿瘤科住院的患者60例,按照随机数字表法分为对照组和观察组,各30例。对照组采用常规护理,观察组成立"Ca-HELP癌痛干预小组",在对照组基础上对癌痛患者自我管理进行干预。比较2组干预前及干预后癌性爆发痛发生率、疼痛应对策略评分,评估2组干预后患者生活质量评分。结果干预后,观察组癌性爆发痛发生率低于对照组,差异有统计学意义(P<0.05),观察组疼痛应对策略量表认知、行为维度及总量表均分均高于对照组,差异有统计学意义(P<0.05)。干预后,观察组癌症患者生命质量测定量表(EORTC QLQ-C30)总体健康状况及躯体功能、情绪功能、认知功能领域得分均高于对照组,差异有统计学意义(P<0.05)。结论基于健康赋权理念对癌痛患者进行自我管理干预,有利于患者更好地应对疼痛,减少癌性爆发痛发生率,提高患者的生活质量。Objective To investigate the effect of self-management intervention based on the concept of health empowerment in cancer pain patients.Methods Totally hospitalized patients with cancer were randomly divided into the control group and the observation group,with 30 cases in each group.All patients received routine care during treatment period.A Ca-HELP group for cancer pain control was set up,and interventions based on the concept of health empowerment were carried out in the observation group.The incidence of cancer breakthrough pain and scores for pain coping strategies was compared between groups.The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire(EORTC QLQ-C30)was adopted to evaluate the patients’quality of life after intervention.Results Incidence of cancer breakthrough pain was lower in the observation group than that in the control group after intervention(P<0.05).In terms of pain coping strategies,patients in the observation group achieved a higher total score and factor scores for awareness and behavior compared with those in the control group(P<0.05).Higher scores for general health,physical function,emotional function and cognitive function were found in the observation than those in the control group(P<0.05).Conclusion The self-management intervention based on the concept of health empowerment is conducive to control cancer pain,reduce the incidence of cancer breakthrough pain and improve the quality of life of the patients.

关 键 词：健康赋权理念 癌痛 自我管理 癌性爆发痛 疼痛护理 中西医结合护理 

分 类 号：R473.73[医药卫生—护理学]