整体护理干预对恶性肿瘤慢性疼痛患者生活质量的影响

Effects of holistic nursing interventions on quality of life of cancer patients with chronic pain

目的探讨整体护理干预对癌症疼痛患者疼痛程度和生存质量的影响。方法将191例癌症疼痛患者按随机数字表法分为两组，研究组97例，对照组94例，均予以肿瘤科常规治疗及护理，研究组在此基础上联合整体护理干预，观察8周。于干预前后采用世界卫生组织生存质量测定量表简表、症状自评量表评定患者的生存质量及心理健康状况，主诉疼痛分级法评定止痛效果。结果干预后两组症状自评量表评分均较干预前显著降低（P〈0．01），研究组显著低于对照组（P〈0．01）；研究组世界卫生组织生存质量测定量表简表评分显著高于对照组（P〈0．05或0．01）。干预4周及8周末研究组止痛效果显著好于对照组（P〈0．05或0．01）。结论整体护理干预能显著缓解癌症疼痛患者的疼痛程度，提高其心理健康水平及生存质量。

Objective To explore the effects of holistic nursing interventions （HNI） on pain degrees and quality of life of cancer patients. Methods A total of 191 cancer patients with chronic pain were assigned to research （n = 97） and control group （n = 94） according to random number table, both groups received routine oncological treatment and nursing, on this basis was plus HNI for 8 weeks. Before and after intervention qualities of life were assessed with the WHO Quality of Life Scale （WHOQOL-BREF）, mental health conditions with the Symptom Checklist-90 （SCL-90）, and analgesic effects with the Verbal Rating Scale （VRS）. Results After intervention the SCL-90 scores of both groups lowered more significantly compared with pre-intervention （P〈0.01） and that was significantly lower in research than control group （P〈0.01） ;the WHOQOL-BREF score was significantly higher in research than in control group （P〈 0.05 or 0.01）. Analgesic effects were better in research than in control group at the ends of the 4th and 8th week （P〈0.05 or 0.01）. Conclusion The HNI could notably relieve pain degrees of cancer patients with pain and improve their menta