延续性护理对癌痛出院患者疼痛控制及生命质量的影响  

Effects of continuous nursing on pain control and quality of life in discharged patients with cancer pain

作　　者：李蕾[1] 孙琦[1] Li Lei;Sun Qi(Department of Radiotherapy,Shanxi Provincial People's Hospital,Taiyuan City,Shanxi Province 030000,China)

机构地区：[1]山西省人民医院放疗科,太原市030000

出　　处：《中华疼痛学杂志》2023年第4期570-573,共4页Chinese Journal Of Painology

摘　　要：目的探讨延续性护理对癌痛出院患者疼痛控制及生命质量的影响。方法收集山西省人民医院放疗科2022年1月至2022年12月收治的癌痛患者50例,年龄18~70岁,性别不限,按照随机数字表法将患者随机分为常规出院组和延续护理组。两组患者出院后均单纯采用口服药控制疼痛。常规出院组给予常规出院宣教,延续护理组依托于微信平台和上门随访为媒介,对出院患者通过成立癌痛延续性护理小组、建立患者健康档案、微信群宣教解惑、重点人群电话沟通、上门随访等延续性护理方式,随访4周后对两组患者的疼痛控制、生命质量、服药依从性的情况进行记录并比较。结果与干预前比较,延续护理组干预后数字等级评分(NRS)降低[(2.3±1.3)比(5.2±1.4),t=7.22,P<0.001],延续护理组干预后NRS评分低于常规出院组[(2.3±1.3)比(4.5±1.4),t=-5.65,P<0.001];与干预前比较,延续护理组干预后卡氏功能状态(KPS)评分升高[(80.8±9.5)比(68.8±9.2),t=-4.51,P<0.001],延续护理组干预后KPS评分高于常规出院组[(80.8±9.5)比(69.2±10.0),t=4.20,P<0.001];延续护理组患者服药依从率明显高于常规出院组[96%(24/25例)比76%(19/25例),χ^(2)=4.15,P=0.042]。结论延续性护理可以提高癌痛患者用药依从性及生命质量,降低疼痛的程度。Objective To explore the effects of continuous nursing on pain control and quality of life in discharged patients with cancer pain.Methods A total of 50 patients with cancer pain admitted to the Department of Radiotherapy of Shanxi Provincial People's Hospital from January 2022 to December 2022 were collected,aged 18-70 years old,both sexes.According to the random number table method,the patients were randomly divided into routine discharge group and transitional care group.All patients were received oral medication to control pain after discharge.Patients received routine discharge education in the routine discharge group,and received transitional care methods such as establishing transitional care groups,documenting patients'health files,wechat group education,telephone communication with key people,and on-site follow-up,based on wechat platform and on-site follow-up as the medium.After 4 weeks of follow-up,the pain score,quality of life and medication compliance were recorded and compared in the two groups.Results NRS was lower after the intervention than that before the intervention in the transitional care group[(2.3±1.3)vs.(5.2±1.4),t=7.22,P<0.001],and NRS was lower in the transitional care group than that in the routine discharge group after the intervention[(2.3±1.3)vs.(4.5±1.4),t=-5.65,P<0.001].Compared with before the intervention,KPS was increased after the intervention in the transitional care group[(80.8±9.5)vs.(68.8±9.2),t=-4.51,P<0.001],and KPS was higher in the transitional care group than that in the routine discharge group[(80.8±9.5)vs.(69.2±10.0),t=4.20,P<0.001].The medication compliance rate was significantly higher in the transitional care group than that in the routine discharge group[96%(24/25 cases)vs.76%(19/25 cases),χ^(2)=4.15,P=0.042].Conclusion Continuous nursing care can improve the medication compliance and quality of life,reduce the degree of pain for discharged patients with cancer pain.

关 键 词：癌症疼痛 延续性护理 生活质量 

分 类 号：R473.73[医药卫生—护理学]