安宁疗护联合舒芬太尼患者自控静脉镇痛对晚期结直肠癌患者疼痛程度、焦虑情绪和主观幸福感的影响  

Effects of hospice care combined with sufentanil patient controlled intravenous analgesia on pain level,anxiety,and subjective well-being in patients with advanced colorectal cancer

作　　者：唐贞贞 张燕 王曼曼 栗彦伟 TANG Zhenzhen;ZHANG Yan;WANG Manman;LI Yanwei(Department of Pain Rehabilitation and Palliative Medicine,Zhengzhou University Affiliated Cancer Hospital/He’nan Provincial Cancer Hospital,Zhengzhou 450000,He’nan,China;Fifth Ward,Department of General Surgery,Zhengzhou University Affiliated Cancer Hospital/He’nan Provincial Cancer Hospital,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学附属肿瘤医院/河南省肿瘤医院疼痛康复与姑息医学科,郑州4500000 [2]郑州大学附属肿瘤医院/河南省肿瘤医院普外五病区,郑州4500000

出　　处：《癌症进展》2024年第15期1648-1651,1688,共5页Oncology Progress

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20210217)。

摘　　要：目的 探讨安宁疗护联合舒芬太尼患者自控静脉镇痛(PCIA)对晚期结直肠癌患者疼痛程度、焦虑情绪和主观幸福感的影响。方法 依据干预方法的不同将82例晚期结直肠癌患者分为对照组(n=40)和安宁疗护组(n=42),对照组患者接受舒芬太尼PCIA,安宁疗护组患者在此基础上联合安宁疗护。比较两组患者的舒芬太尼使用量、PCIA按压次数、疼痛程度[数字分级评分法(NRS)]、自我效能[一般自我效能感量表(GSES)]、焦虑情绪[症状自评量表(SCL-90)]、主观幸福感[总体幸福感量表(GWB)]和满意度。结果 干预后,安宁疗护组患者舒芬太尼使用量低于对照组,PCIA按压次数少于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者NRS评分均低于本组干预前,GSES评分均高于本组干预前,安宁疗护组患者NRS评分低于对照组,GSES评分高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SCL-90各维度评分均低于本组干预前,GWB各维度评分和总分均高于本组干预前,安宁疗护组患者SCL-90各维度评分均低于对照组,GWB各维度评分和总分均高于对照组,差异均有统计学意义(P﹤0.05)。安宁疗护组患者的总满意度为97.62%,高于对照组患者的82.50%,差异有统计学意义(P﹤0.05)。结论 晚期结直肠癌患者在舒芬太尼PCIA镇痛的基础上联合安宁疗护,可有效减轻疼痛程度,缓解负性情绪,提高患者的幸福感和满意度。Objective To explore the effects of hospice care combined with sufentanil patient controlled intravenous analgesia(PCIA)on pain level,anxiety,and subjective well-being in patients with advanced colorectal cancer.Method According to different intervention methods,82 patients with advanced colorectal cancer were divided into control group(n=40)and hospice care group(n=42).Patients in the control group received sufentanil PCIA,while patients in the pallia-tive care group received hospice care on the basis of control group.The dosage of sufentanil,number of PCIA compres-sions,degree of pain[numerical rating scale(NRS)],self-efficacy[general self-efficacy scale(GSES)],anxiety[symptom check list-90(SCL-90)],subjective well-being[general well-being(GWB)],and satisfaction were compared between the two groups.Result After intervention,the dosage of sufentanil and the number of PCIA compressions in the hospice care group were lower than those in the control group,and the differences were statistically significant(P<0.05).After in-tervention,the NRS scores of both groups were lower than those before intervention,and the GSES scores were higher than those before intervention,the NRS score in the hospice care group was lower than that in the control group,and the GSES score was higher than that in the control group,and the differences were statistically significant(P<0.05).After in-tervention,the scores of all dimension of SCL-90 in both groups were lower than those before intervention,the scores of all dimension of GWB and total scores were higher than those before intervention,the scores of all dimension of SCL-90 in the hospice care group were lower than those in the control group,while the scores of all dimension of GWB and total score were higher than those in the control group,and the differences were statistically significant(P<0.05).The overall satisfaction rate in the hospice care group was 97.62%,which was higher than 82.50%in the control group,and the differ-ence was statistically significant(P<0.05).Conclusion Suf

关 键 词：舒芬太尼 安宁疗护 晚期结直肠癌 癌因性疼痛 负性情绪 

分 类 号：R735.3[医药卫生—肿瘤]