King达标理论引导下心理干预配合多维度疼痛护理对老年癌痛患者的影响  

The Influence of Psychological Intervention Under the Guidance of King Standard Theory with Multi-Dimensional Pain Care on Elderly Patients with Cancer Pain

作　　者：杜后英 秦瑞 孔雨苹 DU Houying;QIN Rui;KONG Yuping(Department of Biological Immunotherapy,First Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450000,China;Ward 1,Department of Oncology,First Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450000,China;Ward 2,Department of Oncology,First Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450000,China)

机构地区：[1]郑州大学第一附属医院生物免疫治疗病区,河南郑州450000 [2]郑州大学第一附属医院肿瘤科一病区,河南郑州450000 [3]郑州大学第一附属医院肿瘤科二病区,河南郑州450000

出　　处：《临床研究》2023年第11期165-168,共4页Clinical Research

摘　　要：目的 观察对癌痛老年患者予以多维度疼痛护理和King达标理论引导下心理联合干预对其临床效果的影响。方法 临床纳入2020年10月至2022年10月在郑州大学第一附属医院收治的癌痛老年患者76例,根据随机双盲法分组,分为对照组、研究组,每组均为38例,研究组予以多维度疼痛护理和King达标理论引导下心理联合干预,对照组予以基础护理,两组均护理1个月,比较两组的生活质量、心理健康水平、希望水平、服药依从性及疼痛程度。结果 与干预前比较,两组干预后的生活质量量表评分(QOL)均有升高,但与对照组相比,研究组干预后的QOL评分增高,差异有统计学意义(P<0.05);与干预前相比,两组干预后的情绪状态问卷(POMS)各项指标评分,包括慌乱、精力、压抑、疲劳、愤怒、紧张指标均有下降,但与对照组相比,研究组干预后的POMS各项指标评分下降,差异有统计学意义(P<0.05);与干预前相比,两组干预后的Herth希望量表评分(HHI)[与他人保持亲密关系(I)、采取积极行动(P)、对现实和未来的积极态度(T)]均有提高,但与对照组相比,研究组干预后的T、P、I等HHI评分提高,差异有统计学意义(P<0.05);与干预前相比,两组干预后的Morisky服药依从性量表评分(MMAS-8)均有提高,疼痛数字评分(NRS)均有下降,但与对照组相比,研究组干预后的MMAS-8评分提升,而NRS评分下降,差异有统计学意义(P<0.05)。结论 对癌痛老年患者予以King达标理论引导下的多维度疼痛干预和心理干预,可减低疼痛对患者日常生活的影响,促使患者的服药依从性提高,增强其心理健康,提高其希望指标,在临床癌痛治疗中起到关键性作用。Objective To observe the effects of multi-dimensional pain nursing and combined psychological intervention under the guidance of King standard theory on the clinical results of elderly patients with cancer pain.Methods A total of 76elderly patients with cancer pain admitted to the First Affiliated Hospital of Zhengzhou University from October 2020 to October 2022 were divided into control group and study group according to random double-blind method,with 38 cases in each group.The study group was provided with multi-dimensional pain nursing and psychological joint intervention guided by King standard theory,while the control group was provided with basic nursing.Both groups were cared for for 1 month.The quality of life,mental health level,hope level,medication compliance and pain degree of the two groups were compared.Results Compared with before intervention,the Quality of Life scale score(QOL) of both groups was higher after intervention,but compared with the control group,the QOL score of the study group was higher after intervention,and the difference was statistically significant(P<0.05);Compared with before intervention,the scores of emotional state questionnaire(POMS) after intervention,including panic,energy,depression,fatigue,anger and tension,all decreased in the two groups,but compared with the control group,the scores of POMS after intervention decreased in the study group,and the difference was statistically significant(P<0.05);Compared with before intervention,the Herth Hope Scale score(HHI) [maintaining close relationship with others(I),taking positive actions(P),positive attitude towards reality and future(T)] of both groups were improved after intervention,but compared with the control group,the HHI scores of T,P and I were improved after intervention,and the difference was statistically significant(P<0.05);Compared with before intervention,the score of Morisky's medication compliance Scale(MMAS-8)was improved in both groups after intervention,and the score of pain number(NRS) was decreased in b

关 键 词：癌痛 老年患者 QOL量表 HHI量表 MMAS-8量表 KING达标理论 

分 类 号：R473[医药卫生—护理学]