规范化癌痛护理干预对癌痛患者心理与生活质量的影响

The Effects of Standardized Pain Control Intervention on the Psychology and Quality of Life in Patients with Cancer Pain

目的探讨规范化癌痛护理干预对癌痛患者心理及生活质量的影响。方法选取我院肿瘤科收治的98例患者作为研究对象,采用随机数字表法分为对照组和观察组,每组各49例。对照组患者仅给予常规护理方案,观察者患者在常规护理方案的基础上给予规范化癌痛护理干预。在不同护理干预前后,采用疼痛视觉模拟评分表(VAS)评估患者的癌痛情况,通过焦虑自评量表(SAS)及抑郁自评量表(SDS)评估患者的心理焦虑及抑郁状况,根据SF-36量表评估患者的生活质量。结果护理干预前,两组患者的VAS评分、SAS、SDS评分以及SF-36量表得分比较,差异均无统计学意义(P>0.05);护理干预后,观察组患者的VAS评分、SAS及SDS评分均明显低于对照组,差异均具有统计学意义(P<0.01),而SF-36量表得分明显高于对照组,差异有统计学意义(P<0.01)。结论采用规范化癌痛护理干预可有效减轻癌痛患者的焦虑、抑郁等负性心理,缓解躯体疼痛程度,提高患者整体生活质量,值得临床推广应用。

Objective To explore the effects of standardized pain control intervention on the psychology and quality of life of patients with cancer pain. Methods A total of 98 cases of patients with cancer pain admitted in the oncology depart-ment of our hospital were selected and randomly divided into the control group which was applied conventional nursing the and the observation group which was added with standardized nursing intervention on the base of control group, 49 cases in each group. Before and after different nursing intervention, visual analog scale （VAS） was used to assess the patients’pain, self-rating anxiety scale （SAS） and self-rating depression scale （SDS） were used to assess the patients’psychological anxi-ety and depression status. SF-36 scale was used to assess the patients’quality of life. Results No significant difference was found in the VAS score, SAS and SDS score as well as SF-36 scale score between the two groups before nursing interven-tion （all P〉0.05）. After nursing intervention, the VAS score, SAS and SDS score of the observation group were significantly lower than those of the control group, and the differences were statistically significant （all P〈0.01）. Yet the SF-36 scale score of the observation group was significantly higher than that of the control group, with statistical differences （P〈0.01）. Conclusion Standardized nursing intervention could effectively relieve the anxiety, depression and other negative psychol-ogy of patients with cancer pain. It also could relieve the body pain, improve the whole quality of life, so it was worthy of clinical application.