晚期肺癌患者疼痛危象发生现状及影响因素研究  

Status quo and influencing factors of pain crisis in advanced lung cancer patients

作　　者：豆丽园 蒋秋玲[1] 申文佳 李晓萍[1] 戚新新 DOU Liyuan;JIANG Qiuling;SHEN Wenjia;LI Xiaoping;QI Xinxin

机构地区：[1]郑州大学第一附属医院呼吸内科,郑州市450000 [2]河南大学护理与健康学院

出　　处：《中华护理杂志》2024年第11期1353-1359,共7页Chinese Journal of Nursing

摘　　要：目的调查晚期肺癌患者疼痛危象的现状,并分析其影响因素。方法采用便利抽样法,于2023年8月—11月选取郑州市某三级甲等医院呼吸内科6个病区318例晚期肺癌患者为调查对象。应用疼痛数字评定量表、领悟社会支持量表、焦虑自评量表、抑郁自评量表进行调查,采用Logistic回归分析晚期肺癌患者疼痛危象的影响因素。结果调查的318例晚期肺癌患者中,102例患者发生了疼痛危象,发生率为32.08%。年龄大、高水平社会支持是疼痛危象的保护因素,发生骨转移、焦虑、轻中度抑郁是疼痛危象的危险因素。结论晚期肺癌患者疼痛危象发生率高,护理人员应重点关注年龄小、发生骨转移、社会支持水平低、焦虑水平高、轻中度抑郁水平的晚期肺癌患者,并及时采取干预措施,减少疼痛危象的发生。Objective To investigate the status quo of pain crisis in advanced lung cancer patients and analyze its influencing factors.Methods From August to November 2023,318 patients with advanced lung cancer were selected from 6 wards of respiratory department of a tertiary A hospital in Zhengzhou.The Numerical Rating Scale,Perceptive Social Support Scale,Self-rating Anxiety Scale and Self-rating Depression Scale were used to investigate the influencing factors of pain crisis in advanced lung cancer patients by Logistic regression.Results Among 318 patients with advanced lung cancer,102 patients had painful crisis,with the incidence rate of 32.08%.Older age and high level of social support were protective factors for pain crisis,and bone metastasis,anxiety and mild to moderate depression were risk factors for pain crisis.Conclusion The incidence of pain crisis was high in advanced lung cancer patients.Medical staff should pay attention to those with younger age,bone metastasis,low level of social support,high level of anxiety and mild to moderate level of depression,and take timely intervention measures to reduce the occurrence of pain crisis.

关 键 词：肺癌 疼痛危象 癌痛 问卷调查 护理 

分 类 号：R473.73[医药卫生—护理学]