癌痛健康教育路径表对癌痛患者居家期间生活质量的影响  

Effect of cancer pain health education pathway form on the quality of life of cancer pain patients during home

作　　者：马洪丽[1] 王雅琴[1] 周华丽[1] 石莉[1] 王芳玉[1] Ma Hongli;Wang Yaqin;Zhou Huali;Shi Li;Wang Fangyu(Gastrointestinal Surgery Center Ward 2,Sichuan Cancer Hospital,Chengdu 610041,China)

机构地区：[1]四川省肿瘤医院胃肠外科中心二病区,成都610041

出　　处：《国际护理学杂志》2022年第19期3461-3467,共7页international journal of nursing

基　　金：四川省卫生和计划生育委员会科研课题(17PJ343);四川省肿瘤医院科研课题(IIT(ChiCTR-OIN-17012570))。

摘　　要：目的探讨癌痛健康教育路径表对癌痛患者居家生活质量的影响。方法选择2017年12月至2019年11月在四川省肿瘤医院癌痛规范化治疗示范病房进行抗肿瘤及止痛治疗的140例癌症患者为研究对象,其中2017年12月至2018年11月70例为对照组,2018年12月至2019年11月70例为试验组。对照组患者住院期间根据患者需求进行健康宣教,即患者需要什么宣教,疼痛护士就进行相应的指导和宣教,试验组患者由按照癌痛健康教育路径表实施宣教内容,对两组患者在出院后1 w、1个月进行电话随访,了解患者出院后生活质量及疼痛控制情况。结果试验组在功能维度的情绪功能、认知功能得分明显高于对照组,在症状维度的疲倦、疼痛、呼吸困难、腹泻、经济困难等得分明显低于对照组,差异具有统计学意义(P<0.05);试验组在24 h内最剧烈的疼痛评分、平均疼痛评分、目前疼痛评分、疼痛对行走能力的影响及工作的影响得分明显低于对照组,差异具有统计学意义(P<0.05);两组在交通便捷性的评价差异有统计学意义(P<0.05)。结论癌痛健康教育路径表的应用为居家期间癌痛管理奠定了基础、有助于提高癌痛患者居家期间疼痛控制效果及生活质量,值得推广。Objective To investigate the impact the cancer pain health education pathway form on the quality of life of cancer pain patients during home.Methods A total of 140 cancer patients who received anti-tumor and analgesic treatment in the standardized treatment demonstration ward of cancer pain in this hospital from December 2017 to November 2019 were selected as the research subjects,70 patients from December 2017 to November 2018 were selected as the control group,and 70 patients from December 2018 to November 2019 were selected as the experimental group.Patients in the control group were given health education according to patients'needs during hospitalization,pain nurses gave corresponding instruction and education on what patients needed,while patients in the trial group were given education according to the cancer pain health education pathway table.Patients in both groups were followed up by telephone 1 w and 1 month after discharge to understand patients′quality of life and pain control after discharge.Results The scores of emotional function and cognitive function in the functional dimension were significantly higher in the trial group than in the control group,and the scores of fatigue,pain,dyspnea,diarrhea and economic difficulties in the symptom dimension were significantly lower than in the control group,with statistically significant differences(P<0.05);the scores of the most severe pain,mean pain,current pain,impact of pain on walking ability and work in the trial group were significantly lower than in the control group,with statistically significant differences(P<0.05);the differences in the evaluation of accessibility between the two groups were statistically significant(P<0.05).Conclusions The application of cancer pain health education path form exhibit a foundation role for the management of cancer pain during home,helps to improve the pain control effect and life quality of cancer pain patients at home,and is worthy of promotion.

关 键 词：癌痛 健康教育路径表居家 生活质量 

分 类 号：R473.73[医药卫生—护理学]