管理干预在癌痛患者药源性便秘护理中的应用

Application of management intervention in the drug-induced constipation nursing of patients with cancerous pain

目的 探讨管理干预在癌痛患者服用阿片类药物引起的药源性便秘护理中的应用.方法 选取2014年10月—2015年10月在笔者所在医院接受癌痛治疗服用阿片类药物引起药源性便秘的住院患者300例.采用随机数字表法分为对照组和观察组,各150例.对照组采用常规护理,观察组采用心理、饮食、生活、用药等管理干预.结果 干预后两组患者腹胀感、下坠感、排便困难程度、排便频度等比较,差异均有统计学意义（P〈0.05）.结论 对癌痛患者服用阿片类药物引起的药源性便秘进行管理干预,可有效缓解患者的便秘症状,提高患者的舒适度,使患者更好地配合治疗.

Objective To investigate the application of management intervention in the drug-induced constipation nursing of patients with cancerous pain.MethodsFrom October 2014 to October 2015,300 patients with cancerous pain in our hospital under treatment of drug-induced constipation with opioid drugs were selected and divided into the control group and the observation group by random number table,with 150 cases in each group. Patients in the control group received routine nursing,while patients in the observation group were treated with psychology,diet,daily life,medication and other interventions.ResultsThere were significant differences between two groups in the feeling of abdominal distension,the sense of bearing down and the difficulty degree and frequency of defecation（P〈0.05）.ConclusionsThe application of management intervention in the drug-induced constipation nursing of patients with cancerous pain can greatly relieve the symptoms of constipation,improve patients＇quality of life,and betterly cooperate with hospital＇s treatment. These measures show the value of nursing,and they are worthy of promotion.