认知-心理-疼痛维度专项护理在晚期胰腺癌疼痛患者中的应用研究  

Application of special nursing of cognitive-psychological-pain dimension in patients with advanced pancreatic cancer pain

作　　者：管唯然 魏思东[1] 陈燕[1] 王媛[1] GUAN Weiran;WEI Sidong;CHEN Yan;WANG Yuan(Department of Hepatobiliary and Pancreatic Surgery,Henan Provincial People's Hospital,Zhengzhou,Henan 450001,China)

机构地区：[1]河南省人民医院肝胆胰腺外科,河南郑州450001

出　　处：《现代医药卫生》2024年第8期1299-1302,共4页Journal of Modern Medicine & Health

摘　　要：目的探讨认知-心理-疼痛维度专项护理在晚期胰腺癌疼痛患者中的临床价值。方法选取2022年1月至2023年4月该院收治的晚期胰腺癌患者94例,采取随机数字表法将其分为观察组与对照组,每组47例。对照组给予常规干预,观察组在对照组基础上联合认知-心理-疼痛维度专项护理。比较2组干预前后焦虑自评量表(SAS)、抑郁自评量表(SDS)、数字疼痛评分法(NRS)、Morisky用药依从性量表8条目中文版(MMAS-8)及欧洲癌症研究与治疗组织生活质量测定量表(EORTC QLQ-C3)评分。结果2组干预前SDS、SAS评分比较,差异无统计学意义(P>0.05)。2组干预后SDS、SAS评分低于治疗前,且观察组各指标低于对照组,差异有统计学意义(P<0.05)。2组干预前NRS、MMAS-8评分比较,差异无统计学意义(P>0.05)。2组干预后NRS、MMAS-8评分优于治疗前,且观察组各指标优于对照组,差异有统计学意义(P<0.05)。2组EORTC QLQ-C3各项评分比较,差异无统计学意义(P>0.05)。2组EORTC QLQ-C3各项评分高于治疗前,且观察组各指标高于对照组,差异有统计学意义(P<0.05)。结论对晚期胰腺癌患者实施认知-心理-疼痛维度专项护理不仅能有效改善其焦虑、抑郁情绪与疼痛症状,还能提高其用药依从性及生活质量。Objective To explore the clinical value of cognitive-psychological-pain dimension special nursing in patients with advanced pancreatic cancer pain.Methods A total of 94 patients with advanced pancreatic cancer admitted to the hospital from January 2022 to April 2023 were selected and divided into the observation group and the control group by random number table method,with 47 cases in each group.The control group was given routine intervention,while the observation group received specialized nursing in the cognitive-psychological-pain dimension on the basis of the control group.The scores of the Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),numerical Pain Scale(NRS),Morisky Medication Adherence Scale 8-item Chinese version(MMAS-8)and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire(EORTC QLQ-C3)were compared between the two groups before and after intervention.Results There were no statistically significant differences in the scores of SDS and SAS between the two groups before intervention(P>0.05).The SDS and SAS scores of the two groups after intervention were lower than those before treatment,and the indicators of the observation group were lower than those of the control group,with statistically significant differences(P<0.05).There were no statistically significant difference in NRS and MMAS-8 scores between the two groups before intervention(P>0.05).The NRS and MMAS-8 scores of the two groups after intervention were better than those before treatment,and the indicators of the observation group were better than those of the control group,and the differences were statistically significant(P<0.05).There were no statistically significant differences in EORTC QLQ-C3 score between the two groups(P>0.05).Each item score of EORTC QLQ-C3 in the two groups were higher than those before treatment,and each indicators in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).Conclusion The special nur

关 键 词：认知-心理-疼痛维度专项护理 胰腺癌 疼痛 用药依从性 

分 类 号：R735.9[医药卫生—肿瘤]