综合护理干预对原发性肝癌慢性癌痛病人镇痛效果和生存质量的影响

Influence of comprehensive nursing intervention for analgesic effect and quality of life in primary liver cancer patients complicated with chronic cancer pain

[目的]探讨综合护理干预对原发性肝癌慢性癌痛病人镇痛效果和生存质量的影响。[方法]将入选的83例病人按就诊时间分为对照组39例和观察组44例,两组均接受相应的常规护理,观察组在此基础上实施心理干预、认知干预、行为干预和家庭支持干预等。采用疼痛程度数字等级量表(PINRS)和肝癌病人生存质量量表(QOL-LC),在综合护理干预前后对两组病人进行问卷调查并记录。[结果]对照组和观察组最终完成试验的病人分别为35例和38例;干预后观察组PINRS评分明显低于对照组,疼痛控制效果、生存质量总分及病人自评分均明显高于对照组,差异有统计学意义(P<0.05)。[结论]综合护理干预可提高原发性肝癌病人慢性癌痛的治疗效果,缓解慢性癌痛,并改善生存质量。

Obj ective：To probe into influence of comprehensive nursing inter-vention for analgesic effect and quality of life in primary liver cancer patients complicated with chronic cancer pain.Methods：83 cases of chosen patients were divided into control group （n=39）and experimental group （n=44）ac-cording to their admission time.Both groups of patients received correspond-ing routing nursing,while patients in observation group received psychologi-cal intervention,cognitive intervention,behavior intervention and family sup-port intervention.The two groups of patients were questionnaired and recor-ded by Pain intensity numerical rating scale （PINRS）and quality of life scale with liver cancer （QOL LC）before and after comprehensive nursing inter-vention.Results：35 patients in control group and 38 patients in observation group were able to complete the experiment finally.The PINRS score in ob-servation group was significantly lower than that of control group（P＆lt;0.05）. The analgesic effect,the total score of QOL LC and the patients’self as-sessment score were significantly higher in observation group than that in control group after comprehensive nursing intervention （P＆lt;0.05）.Conclu-sion：Comprehensive nursing intervention can improve the treatment of pri-mary liver cancer patients with chronic cancer pain,relieve chronic pain and improve quality of life.