动机保护理论的健康教育模式在癌性疼痛患者疼痛全程管理中的应用  

Application of health education model based on motivational protection theory in the whole process management of cancer pain patients

作　　者：曾雅燕[1] 陈旭娜 林彤彤[2] 谢漫 郑智强 蔡莹莹 Zeng Yayan;Chen Xuna;Lin Tongtong;Xie Man;Zheng Zhiqiang;Cai Yingying(First Department of Oncology,Jieyang People's Hospital,Jieyang 522000,China;Department of Pharmacy,Jieyang People's Hospital,Jieyang 522000,China;Department of Nursing,Jieyang People's Hospital,Jieyang 522000,China;Department of 2nd Cardiothoracic Surgery,Jieyang People's Hospital,Jieyang 522000,China)

机构地区：[1]揭阳市人民医院肿瘤内科一科,揭阳522000 [2]揭阳市人民医院药学部,揭阳522000 [3]揭阳市人民医院护理部,揭阳522000 [4]揭阳市人民医院胸心外科二科,揭阳522000

出　　处：《国际医药卫生导报》2025年第5期860-864,共5页International Medicine and Health Guidance News

基　　金：2024年广东省医学科研基金(A2024760);2021年揭阳市科技计划(ylxm117);2022年揭阳市科技计划(2022wsyl024)。

摘　　要：目的探讨基于动机保护理论的健康教育模式应用于癌性疼痛患者疼痛全程管理的效果。方法本研究采用随机对照研究方法。选取2021年10月至2023年1月揭阳市人民医院肿瘤内科一科收治的癌性疼痛患者90例,使用随机数字表法分为对照组和观察组,各45例。对照组男22例,女23例,年龄(59±1)岁。观察组男22例,女23例,年龄(55±1)岁。对照组采用常规健康教育模式干预,观察组采用基于动机保护理论的健康教育模式干预。对比干预前(入院时)、干预后(出院时)两组患者的疼痛程度和疼痛控制障碍程度、服药依从性、自我管理能力和生活质量评分。采用χ^(2)检验、t检验进行统计分析。结果干预后,观察组疼痛程度低于对照组(χ^(2)=13.856,P<0.001);疼痛控制障碍程度评分低于对照组[(6.71±4.12)分比(20.07±8.38)分](t=9.590,P<0.001);服药依从性、自我管理能力、生活质量评分均高于对照组[(7.53±0.76)分比(5.57±1.64)分、(87.87±12.73)分比(69.44±16.69)分、(71.78±9.82)分比(65.80±7.32)分],差异均有统计学意义(t=7.296、5.859、3.275,均P<0.05)。结论将动机保护理论的健康教育模式应用于癌性疼痛患者的疼痛全程管理,可有效减轻患者疼痛,提高服药依从性,增强患者自我管理能力,改善生活质量。Objective To explore the application effect of health education model based on motivational protection theory in the whole process management of cancer pain patients.Methods This study was a randomized controlled trial.A total of 90 patients with cancer pain admitted to the First Department of Oncology of Jieyang People's Hospital from October 2021 to January 2023 were selected and were divided into a control group and an observation group using the random number table method,with 45 patients in each group.In the control group,there were 22 males and 23 females,aged(59±1)years.In the observation group,there were 22 males and 23 females,aged(55±1)years.The control group adopted the conventional health education model,and the observation group adopted the health education model based on the motivational protection theory.The pain score,degree of pain control disorder,medication compliance,self-management ability,and quality of life were compared between the two groups before intervention(at admission)and after intervention(at discharge).χ^(2) test and t test were used for statistical analysis.Results After intervention,the pain degree of the observation group was lower than that of the control group(χ^(2)=13.856,P<0.001),and the score of pain control disorder was lower than that of the control group[(6.71±4.12)points vs.(20.07±8.38)points](t=9.590,P<0.001);the scores of medication compliance,self-management ability,and quality of life were higher than those of the control group[(7.53±0.76)points vs.(5.57±1.64)points,(87.87±12.73)points vs.(69.44±16.69)points,(71.78±9.82)points vs.(65.80±7.32)points],with statistically significant differences(t=7.296,5.859,and 3.275,all P<0.05).Conclusions The health education model based on motivational protection theory can effectively reduce the patients'pain degree,and improve the medication compliance,self-management ability,and quality of life,which can provide reference for pain management of cancer pain patients.

关 键 词：恶性肿瘤 癌性疼痛 动机保护理论 健康教育 全程管理 

分 类 号：R441.1[医药卫生—诊断学]