同伴支持对肿瘤患者口服止痛治疗依从性及焦虑情绪的影响

Effect of companion support on oral medication compliance and anxiety in tumor patients

目的 探讨同伴支持对肿瘤患者口服止痛治疗依从性及焦虑情绪的影响.方法 采用随机对照研究,将78例肿瘤疼痛患者随机分为干预组和对照组,每组各39例.对照组接受常规镇痛护理;干预组在此基础上,接受为期3个月的同伴支持干预.比较两组患者治疗依从性及焦虑情绪.结果 干预后,干预组患者治疗依从性及遵医嘱服药次数、服药时间、服药剂量、坚持连续服药4个维度的依从性高于对照组,差异有统计学意义（t值分别为6.366、2.646、3.552、2.588、3.551;P〈0.05）;干预组焦虑得分低于对照组,差异有统计学意义（t=-2.542,P〈0.05）.结论 同伴支持干预可提高肿瘤患者口服止痛治疗依从性,改善患者焦虑情绪.

Objective To investigate the effects of companion support on oral medication compliance and anxiety in tumor patients.Methods A total of 78 cases of tumor patients with pain were randomly divided into intervention group （n=39） and control group （n=39） and investigated using randomized controlled study. Patients in control group received routine analgesic care, while patients in intervention group received additional 3-month companion support intervention. Treatment compliance and anxiety of patients were compared between two groups.Results After the intervention, patients′ treatment and medication compliance including number of oral medication, medication time, dosage, adherence to continuous medication in intervention group were better than patients in control group. The differences were statistically significant （t=6.366, 2.646, 3.552, 2.588, 3.551;P〈0.05）. The scores of anxiety of the patients in intervention group were significantly lower than that in control group （t=-2.542,P〈0.05）.Conclusions Companion support intervention can increase oral medication compliance and improve the anxiety of tumor patients.