规范化癌痛护理联合三阶段止痛治疗对癌痛患者的干预效果观察  

Observation on Intervention Effects of Standardized Cancer Pain Nursing Combined with Three-stage Analgesia Therapy on Patients with Cancer Pain

作　　者：张洁[1] 张旱愉[1] 王宝君[1] 朱运添[1] 黄粉妹[1] ZHANG Jie;ZHANG Hanyu;WANG Baojun;ZHU Yuntian;HUANG Fenmei(Shenzhen Maternal and Child Health Hospital,Shenzhen 518028,China;不详)

机构地区：[1]广东省深圳市妇幼保健院,广东深圳518028

出　　处：《中国医学创新》2021年第10期109-114,共6页Medical Innovation of China

摘　　要：目的:探讨规范化癌痛护理联合三阶段止痛治疗对癌痛患者疼痛症状、癌因性疲乏、负性情绪、睡眠质量、生活质量、癌痛自我效能的改善效果。方法:选取2015年5月-2019年3月本院收治的癌痛患者60例。用随机抽签分类法分为观察组和对照组,各30例。两组患者按照WHO癌症疼痛三阶梯止痛原则进行治疗,对照组予以常规疼痛护理,观察组予以规范化癌痛护理管理。观察两组患者干预前后癌痛程度[简化McGill疼痛评分表(SF-MPQ)]、癌因性疲乏[癌症疲乏量表(CFS)中文版]、心理状态[正性负性情绪量表(PANAS)]、睡眠质量[匹兹堡睡眠质量调查问卷(PSQI)]、生活质量[癌症治疗功能评估量表(FACT-G)]、癌痛自我效能感[中文版慢性疼痛自我效能感量表(CPSS)]变化情况。结果:干预2周后,两组患者SF-MPQ量表各维度评分、CFS量表各维度评分、PANAS负性情绪评分、PSQI评分均低于干预前,且观察组均低于对照组,差异均有统计学意义(P<0.05)。干预2周后,两组患者PANAS正性情绪评分、FACT-G量表各维度评分及总分、CPSS分量表评分及总分均较干预前升高,且观察组均高于对照组,差异均有统计学意义(P<0.05)。结论:规范化癌痛护理联合三阶段止痛治疗可显著减轻癌痛患者疼痛程度,降低癌因性疲乏,减少负性情绪,提高癌痛自我效能感,有助于睡眠质量和生活质量的提升。Objective:To explore the improvement effects of standardized cancer pain nursing combined with three-stage analgesia therapy on pain symptoms,cancer-related fatigue,negative emotions,sleep quality,quality of life and cancer pain self-efficacy in patients with cancer pain.Method:A total of 60 patients with cancer pain admitted to our hospital from May 2015 to March 2019 were selected.The patients were divided into observation group and control group by random drawing,30 cases in each group.Patients in the two groups were treated according to the WHO principle of three-stage of analgesia for cancer pain,the control group was given routine pain care,and the observation group was given standardized cancer pain care management.The cancer pain level[short-form McGill pain questionnaire(SF-MPQ)],cancer-related fatigue[cancer fatigue scale(CFS)Chinese version],psychological status[positive and negative affect scale(PANAS)],sleep quality[Pittsburgh sleep quality index(PSQI)],quality of life[functional assessment of cancer therapy-general(FACT-G)]and cancer pain self-efficacy[Chinese version of chronic pain self-efficacy scale(CPSS)]were observed in the two groups before and after intervention.Result:After 2 weeks of intervention,scores of each dimension of SF-MPQ scale,CFS scale,PANAS negative emotion score and PSQI score in two groups were all lower than those of before intervention,and observation group were lower than control group,the differences were statistically significant(P<0.05).After 2 weeks of intervention,PANAS positive emotion score,each dimension scores and total score of FACT-G scale,each dimension scores and total score of CPSS subscale in two groups were all increased compared with before intervention,and observation group were higher than control group,the differences were statistically significant(P<0.05).Conclusion:Standardized cancer pain nursing combined with three-stage analgesia therapy can significantly reduce the pain degree of cancer pain patients,reduce cancer-related fatigue,reduce negative e

关 键 词：规范化癌痛护理 三阶段止痛 癌因性疲乏 负性情绪 睡眠质量 生活质量 

分 类 号：R473.73[医药卫生—护理学]