疼痛专科护士主导下的MDT模式在居家患者癌痛管理中的应用  

Application of MDT model under the guidance of pain specialist nurses in the management of cancer pain in home-based patients

作　　者：王茂华 何书情 敬玉霞 申娅 胡贵 董星星 Wang Maohua;He Shuqing;Jing Yuxia;Shen Ya;Hu Gui;Dong Xingxing(Shehong People's Hospital,Shehong Sichuan 629200,China)

机构地区：[1]四川省射洪市人民医院,四川射洪629200

出　　处：《保健医学研究与实践》2023年第S02期158-160,共3页Health Medicine Research and Practice

基　　金：四川省护理科研课题计划(H21043)。

摘　　要：目的探讨针对居家癌痛患者应用疼痛专科护士主导的MDT模式的干预效果,为居家癌痛患者护理干预方案提供参考。方法选取2022年1月—12月四川省射洪市人民医院肿瘤科收治的86例癌症患者,应用随机数字表法分为对照组和研究组,每组43例。对照组患者由每日的责任护士进行癌痛常规护理干预,研究组患者由疼痛专科护士进行个案管理,比较2组患者的生活质量、疼痛情况等指标。结果干预前,2组患者的数字疼痛评估量表(NRS)评分比较,差异无统计学意义(P>0.05),干预后1周、2周、3周、4周,研究组患者的NRS评分均低于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者的FACT-G评分比较,差异无统计学意义(P>0.05);干预后,研究组患者的FACT-G评分明显高于对照组,差异有统计学意义(P<0.05)。研究组患者的服药依从率为95.35%,明显高于对照组的79.07%,差异有统计学意义(P<0.05)。结论以疼痛专科护士主导的多学科团队协作的癌痛管理工作模式,有利于减轻恶性肿瘤患者癌痛程度及提高生存质量,适宜在有条件的医院推广应用。Objective To explore the intervention effect of pain specialist nurse-led multidisciplinary treatment(MDT)model for home-based cancer pain patients and provide evidence for nursing intervention programs for these patients.Methods A total of 86 cancer patients admitted to the oncology department of Shihong People's Hospital in Sichuan Province from January to December 2022 were selected and assigned to a control group and a study group using a random number table method,with 43 cases in each group.The control group received routine cancer pain nursing intervention by the assigned nurse on a daily basis,while the study group received individual case management by two pain specialist nurses.The quality of life and pain status of the two groups of patients were compared.Results Before the intervention,there was no significant difference in the Numeric Rating Scale(NRS)scores between the two groups(P>0.05).After 1,2,3,and 4 weeks of intervention,the NRS scores of the study group were significantly lower than those of the control group(P<0.05).Before the intervention,there was no significant difference in the Functional Assessment of Cancer Therapy-General(FACT-G)scores between the two groups(P>0.05).After the intervention,the FACT-G scores of the study group were significantly higher than those of the control group(P<0.05).The medication compliance rate of the study group was significantly higher than that of the control group(95.35%vs.79.07%;P<0.05).Conclusion The cancer pain management model led by pain specialist nurses under MDT is beneficial for reducing the severity of cancer pain and promoting the quality of life of patients with malignant tumors,holding promise for promotion and application in hospitals with conditions.

关 键 词：疼痛专科护士 多学科协作 癌痛控制 生活质量 

分 类 号：R473.73[医药卫生—护理学]