多角度护理干预对姑息治疗晚期癌症患者负面情绪及癌性疼痛的影响  

Effect of multi-angle care intervention on negative emotions and cancer pain in palliative care for patients with advanced cancer

作　　者：郭梦洁 郭园丽[2] 王文颖[1] 李璐[1] 乔志瑶 Guo Mengjie;Guo Yuanli;Wang Wenying;Li Lu;Qiao Zhiyao(Department of Breast Surgery,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Neurology,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院乳腺外科,郑州450000 [2]郑州大学第一附属医院神经内科,郑州450000

出　　处：《保健医学研究与实践》2023年第9期109-113,共5页Health Medicine Research and Practice

基　　金：河南省医学科技攻关计划省部共建青年项目(SBGJ202103084)。

摘　　要：目的 探讨多角度护理干预对姑息治疗晚期癌症患者负面情绪及癌性疼痛的影响。方法 选取2020年2月—2022年7月在郑州大学第一附属医院接受姑息治疗的76例晚期癌症患者,根据护理干预方法不同分为研究组(40例)和对照组(36例)。对照组患者给予常规护理干预,研究组患者在对照组基础上给予多角度护理干预,比较2组患者干预前后简化Mc Gill疼痛问卷量表(SF-MPQ)评分、食欲及体质量变化情况、匹兹堡睡眠质量指数问卷(PSQI)评分、汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分及癌症治疗功能评价系统-普适性量表(FACT-G)评分。结果 2组患者干预前SF-MPQ各分量表评分比较,差异均无统计学意义(P>0.05);研究组患者干预后SF-MPQ中疼痛分级指数(PRI)、疼痛视觉模拟量表(VAS)、现时疼痛强度(PPI)3个分量表评分均低于对照组,差异均有统计学意义(P<0.05)。2组患者干预前食欲评分比较,差异无统计学意义(P>0.05);研究组患者干预后食欲评分高于对照组,差异有统计学意义(P<0.05)。研究组患者干预后体质量改善有效率为87.50%(35/40),高于对照组的58.33%(21/36),差异有统计学意义(χ^(2)=8.313,P=0.004)。2组患者干预前PSQI、HAMA及HAMD评分比较,差异均无统计学意义(P>0.05);研究组患者干预后PSQI、HAMA及HAMD评分均低于对照组,差异均有统计学意义(P<0.05)。2组患者干预前FACT-G各维度评分比较,差异均无统计学意义(P>0.05);研究组患者干预后FACT-G的躯体、社会/家庭、情感及功能4个维度评分均低于对照组,差异均有统计学意义(P<0.05)。结论 多角度护理干预用于姑息治疗的晚期癌症患者,能减轻患者疼痛,改善患者负面情绪,提高患者生活质量,值得在临床应用推广。Objective This paper aims to investigate the effect of multi-angle care intervention on negative emotions and cancer pain in patients with advanced cancer receiving palliative care.Methods Seventy-six patients with advanced cancer receiving palliative care in the First Affiliated Hospital of Zhengzhou University from February 2020 to July 2022 were selected and assigned to the study group(40 cases)and the control group(36 cases)following different care interventions.The patients in the control group received routine care intervention;the patients in the study group,multi-angle care intervention based on the control group.The Short Form McGill Pain Questionnaire(SF-MPQ)score,appetite and body mass changes,Pittsburgh Sleep Quality Index(PSQI)score,Hamilton Anxiety Rating Scale(HAMA)score,Hamilton Depression Rating Scale(HAMD)score,and Functional Assessment of Cancer Therapy-General(FACT-G)score were compared between the two groups before and after the intervention.Results No significant difference was found in SF-MPQ subscale scores before intervention between the two groups(P>0.05);the subscale scores of SF-MPQ pain rating index(PRI),Visual Analogue Scale(VAS),and present pain intensity(PPI)after intervention in the study group were significantly lower than those in the control group(P<0.05).No significant difference was found in appetite score before intervention between the two groups(P>0.05);the appetite score after intervention in the study group was significantly higher than that in the control group(P<0.05).The response rate of body weight improvement after intervention in the study group was significantly higher than that in the control group[87.50%(35/40)vs.58.33%(21/36);χ^(2)=8.313,P=0.004].No significant differences were observed in PSQI,HAMA,and HAMD scores before intervention between the two groups(P>0.05);PSQI,HAMA,and HAMD scores after intervention in the study group were significantly lower than those in the control group(P<0.05).No significant differences were detected in the subscale scores of FA

关 键 词：癌症晚期 姑息治疗 多角度护理 癌性疼痛 负面情绪 生活质量 

分 类 号：R730.59[医药卫生—肿瘤] R473.73[医药卫生—临床医学]