集束化疼痛护理对晚期恶性肿瘤患者自我感受负担及疼痛评分的影响  

Effect of Cluster Pain Nursing on Self-perceived Burden and Pain Score in Patients with Advanced Malignant Tumor

作　　者：舒虹 SHU Hong(Cancer Center Office of Jiangxi Cancer Hospital,Nanchang 330029,Jiangxi,China)

机构地区：[1]江西省肿瘤医院癌症中心办公室,江西南昌330029

出　　处：《医学信息》2025年第6期164-167,共4页Journal of Medical Information

摘　　要：目的研究集束化疼痛护理对晚期恶性肿瘤患者自我感受负担及疼痛评分的影响。方法以2020年6月-2023年6月江西省肿瘤医院收治的60例晚期恶性肿瘤患者为研究对象,采用随机数字表法分为对照组(30例)与观察组(30例),对照组给予常规疼痛护理,观察者则应用集束化疼痛护理。比较两组疼痛程度[视觉模拟评分(VAS)]、负面情绪[焦虑/抑郁自评量表(SAS/SDS)]、自我感受负担量表(SPBS)、Piper疲乏自评量表(PFS)、匹兹堡睡眠质量指数(PSQI)、肿瘤生存质量调查表(EORTC)评分。结果与护理前比较,两组VAS评分低于护理前,且与对照组比较,观察组护理后VAS评分更低(P<0.05);与护理前比较,两组SAS、SDS评分均低于护理前,且与对照组比较,观察组护理后SAS、SDS评分更低(P<0.05);与护理前比较,两组SPBS、PFS评分低于护理前,且与对照组比较,观察组护理后SPBS、PFS评分更低(P<0.05);与护理前比较,两组PSQI评分低于护理前,EORTC评分高于护理前,且与对照组比较,观察组护理后PSQI评分更低,EORTC评分更高(P<0.05)。结论集束化疼痛护理可缓解晚期恶性肿瘤患者的疼痛程度,改善其负面情绪,降低心理负担与癌性疲乏水平,提高患者的睡眠质量与生存质量。Objective To study the effect of cluster pain nursing on self-perceived burden and pain score in patients with advanced malignant tumor.Methods A total of 60 patients with advanced malignant tumors admitted to Jiangxi Cancer Hospital from June 2020 to June 2023 were selected as the research objects.They were divided into control group(30 patients)and observation group(30 patients)by random number table method.The control group was given routine pain nursing,while the observer was given cluster pain nursing.The pain degree[Visual Analogue Scale(VAS)],negative emotions[Self-rating Anxiety Scale/Self-rating Depression Scale(SAS/SDS)],Self-perceived Burden Scale(SPBS),Piper Fatigue Self-rating Scale(PFS),Pittsburgh Sleep Quality Index(PSQI),and tumor quality of life questionnaire(EORTC)scores were compared between the two groups.Results Compared with before nursing,the VAS score of the two groups was lower than that before nursing,and compared with the control group,the VAS score of the observation group was lower after nursing(P<0.05).Compared with before nursing,the SAS and SDS scores of the two groups were lower than those before nursing,and compared with the control group,the SAS and SDS scores of the observation group were lower after nursing(P<0.05).Compared with before nursing,the SPBS and PFS scores of the two groups were lower than those before nursing,and compared with the control group,the SPBS and PFS scores of the observation group were lower after nursing(P<0.05).Compared with before nursing,the PSQI score of the two groups was lower than that before nursing,and the EORTC score was higher than that before nursing,while compared with the control group,the PSQI score of the observation group was lower and the EORTC score was higher after nursing(P<0.05).Conclusion Cluster pain nursing can relieve the pain degree of patients with advanced malignant tumor,improve their negative emotions,reduce psychological burden and cancer fatigue level,and improve their sleep quality and quality of life.

关 键 词：晚期恶性肿瘤 集束化疼痛护理 自我感受负担 癌痛 生存质量 

分 类 号：R473.5[医药卫生—护理学]