奥施康定联合放疗治疗恶性肿瘤并骨转移疼痛患者的护理研究

The Combination of Oxy Contin with Radiotherapy in the Treatment of Patients with Malignant Tumor and Painful Bone Metastasis

目的:探究对于恶性肿瘤合并骨转移疼痛患者实施奥施康定联合放疗期间提供规范化护理程序干预的应用效果。方法:将本院于2015年5月-2017年1月间收治恶性肿瘤并骨转移疼痛患者80例,住院期间均提供羟考酮缓释片(奥施康定)联合放疗,同时实施恶性肿瘤骨转移疼痛规范化护理,干预后观察患者Mcmil Lan疼痛评分、生存质量评分、不良反应,评估心理抑郁状态。结果:患者入院时机体健康状态、日常活动能力、家庭融入度、社会功能等指标评分均较低,经治疗及护理干预后,患者上述指标评分均提高,比较差异均有统计学意义(P<0.05)。所有患者治疗前接受疼痛评分为(3.52±0.15)分,经奥施康定联合放疗干预,同时提供规范化疼痛护理后,再次测评为(2.21±0.10)分,干预后疼痛表现有所改善(P<0.05)。发生便秘反应为18例(22.50%),出现白细胞下降为5例(6.25%)。入院时患者抑郁评分结果平均为(70.26±1.40)分,出院时抑郁评分为(52.35±1.05)分,比较差异有统计学意义(P<0.05)。结论:本次研究采用奥施康定联合放疗措施治疗恶性肿瘤并骨转移疼痛患者,同时加强治疗期间规范化疼痛管理措施,制定标准护理程序,可有效减轻骨转移疼痛症状,提高患者治疗配合度及信心,抑郁表现得到缓解,大部分患者干预后生存状态较好。

Objective： To study the application effect of providing standardized nursing intervention for patients With malignant tumor and painful bone metastasis during the period of combined implementation of oxycontin and radiotherapy.Method： 80 cases with malignant tumor and painful bone metastasis admitted to our hospital from May 2015 to January 2017 were provided the combined treatment of OxyContin （ Oxycodone ） and radiotherapy during hospitalization with standardized nursings of combined malignant tumor and painful bone metastasis implemented at the same time.After intervention, McmilLan pain scores, life quality scores, and adverse reactions occurred to patients were observed and patients＇ psychological depression were evaluated. Result： The scores of patients＇ health status, activities of daily living, family integration, social function and other indicators were lower when the patients were admitted to hospital, the differences were statistically significant （P〈0.05） .After treatment and nursing intervention, the scores of these indexes were improved （P〈0.05）.In all cases, the average score of pain acceptance before treatment was （ 3.52±0.15 ） score, after the combined intervention of Oxycontin and radiotherapy in providing standardized pain care at the same time the score was （2.21±0.10 ）score when re-evaluating, after intervention the pain was improved （P〈0.05） .In all cases, the constipation reaction were 18 eases （ 22.50% ）, white blood cells decline were 5 cases （ 6.25% ） .The patients＇ average score of depression when admission was （ 70.26 ±1.40 ） score, and when discharge was （ 52.35 ± 1.05 ） score, the difference was statistically significant （P〈0.05） .Conclusion： The study adopted the combination of Oxycontin with radiotherapy in the treatment of patients with malignant tumor and painful bone metastasis, at the same time to strengthen the standardized pain management measures implemented and standardized nursing process formulated during treatment, which can effectively relieve the symptoms of bone metastasis pain, improve patients＇ treatment compatibility and confidence with depression relieved.Most patients have better living state after intervention.