舒适护理对癌症疼痛患者疼痛程度及生活质量的影响

Influence of comfort care on pain degrees and quality of life of patient with cancer pain

目的探讨舒适护理对癌症疼痛患者疼痛程度及生活质量的影响。方法将144例癌症疼痛患者随机分为两组，每组72例。两组患者均给予肿瘤科常规治疗及护理，研究组在此基础上联合舒适护理。观察1个月。干预1个月末，采用世界卫生组织生存质量测定量表简表、Wong—Banker面部表情量表法评定生存质量及疼痛程度。结果干预1个月末，研究组世界卫生组织生存质量测定量表简表总分及生理领域、心理领域、环境领域因子分均显著高于对照组（P〈0．01），非常愉快无疼痛、有一点疼痛、轻度疼痛的比率显著高于对照组（P〈0．05），疼痛较明显率显著低于对照组（P〈0．05）。结论舒适护理能够明显减轻癌症疼痛患者的疼痛程度，提高患者的生活质量。

Objective To explore the influence of comfort care on pain degrees and quality of life of patient with cancer pain. Methods A total of 144 cancer pain patients were randomly assigned to two groups of 72 ones each. Both groups received routine treatment and nursing for oncology, research group was plus com- fort care for 1 month. Quality of life and pain degrees were assessed with the WHO Quality of Life （WHOQOL-BREF） and Faces Pain Scale-Revised （FPS-R） at the end of 1 month observation. Results The total, P HYS, PSYCH, ENVIR score of the WHOQOL-BREF were significantly higher （P〈0.01） and the proportions of very happy/painlessness, a bit of pain and mild pain （P〈0.05） were significantly higher and that of more obvious pain lower （P〈0.05） in research than control group at the end of 1-month intervention. Conclusion Comfort care could lessen pain degrees of cancer pain patients notably and in- crease patients＇ quality of life.