疼痛护理干预对晚期癌痛患者疼痛的影响

The effect of nursing intervention on the pain reduction in the patients with advanced cancer

目的评价疼痛护理干预对于晚期肿瘤病人疼痛的影响。方法将82例癌症门诊病人按癌症类型配对随机分成干预组(n=42)和对照组(n=40),干预组在10周内由专科护士执行疼痛护理干预,包括6次当面随访和4次电话随访。对照组接受标准的健康教育和护理。干预措施主要遵循3大策略:提供资料,技能训练和护理指导。主要评价指标包括:疼痛强度评分,阿片类药物的摄入量以及生活质量评分。结果在10周到随访期结束后,干预组对象疼痛平均和最大程度有明显下降,生活质量评分显著提高,但阿片类药物摄入量改变不明显。结论该项疼痛干预能提高癌症患者对抗癌痛的能力,降低疼痛程度,提高生活质量,是一种有效的干预方案。

Objectives：To evaluate the effect of nursing intervention on the pain reduction in the patients with advanced cancer. Methods：Eighty-two oncology outpatients were randomized to intervention（n=42）and control（n=40）groups. The intervention group received the direction from the specialty nurses in 6 visits and 4 phone calls in a 10-weeks period. The control group received standard education and care. The intervention employed three key strategies：information provi-sion,skill building and nurse coaching. Primary outcomes were in pain intensity,opioid intake and quality of life score. Results：The intervention group showed a significant reduction in pain intensity and statistically significant increase in qual-ity of life score,slight reduction was found in the opioid intakeduring a 10 weeks period. Conclusion：The intervention of nursing can promote oncology patients′ability against the pain of cancer,reduce the pain intensity and enhance the quality of life,which is an effective program for cancer pain.