综合护理干预对肿瘤慢性癌痛患者治疗依从性的影响

Effect of comprehensive nursing intervention on treatment compliance of cancer patients with chronic pain

目的 探讨综合护理干预方式对改善肿瘤慢性癌痛患者治疗依从性的效果.方法 将入选的93例患者按就诊时间分为对照组（46例）和研究组（47例）,两组均接受相应的常规护理,研究组在此基础上实施综合护理干预,比较两组患者干预后治疗依从性以及生活质量的情况.结果 干预后,研究组患者的治疗依从性明显高于对照组,差异有统计学意义（x2分别为7.55,1.13,4.47,7.99,5.66,2.09；P＜0.05）；研究组患者的生活质量得分明显高于干预前,研究组在恶心呕吐、疼痛及总体健康状况的得分分别为（23.88±8.82）,（35.89±8.53）,（65.32±8.24）,而对照组相应得分分别为（27.64±8.54）,（38.81±8.57）,（62.29±7.56）,两组比较差异有统计学意义（t值分别为-1.92,-2.04,1.70；P＜0.05）.结论 综合护理干预可提高肿瘤癌痛患者治疗的依从性,明显改善肿瘤癌痛患者的生活质量.

Objective To study the effect of comprehensive nursing intervention on treatment compliance of cancer patients with chronic pain.Methods Ninety-three chosen patients were divided into the control group （n =46） and the experimental group （n =47） according to their admission time.Both groups received routine nursing while the experimental group received comprehensive nursing intervention in addition.Treatment compliance and quality of life were compared between two groups.Results After nursing intervention,treatment compliance was obviously better in the experimental group than in the control group,with statistically significant difference （x2 =7.55,1.13,4.47,7.99,5.66,2.09 ; P 〈 0.05）.Quality of life was also better in the experimental group than in the control group.The score of nausea and vomiting,pain and overall health was respectively （23.88 ± 8.82）,（35.89 ± 8.53）,（65.32 ± 8.24） in the experimental group and （27.64 ± 8.54）,（38.81 ± 8.57）,（62.29 ± 7.56）in the control group,and the differences were statistically significant （t =-1.92,-2.04,1.70,respectively; P 〈 0.05）.Conclusions Comprehensive nursing intervention can help improving the treatment compliance of cancer patients with chronic pain and enhance their life quality obviously.