循证护理干预改善肿瘤患者阿片类药物相关性便秘症状中的探讨

Application of evidence-based nursing intervention in improving opioid-related constipation in cancer patients

目的探讨循证护理干预措施在改善肿瘤患者阿片类药物相关性便秘症状中的应用效果。方法选取186例癌症患者作为研究对象,随机分为对照组与观察组各93例,对照组采取常规护理,观察组在常规护理基础上实施循证护理干预,对比干预前后2组肿瘤患者阿片类药物相关性便秘症状的改善情况、预后生存质量及满意度。结果观察组患者的排便难易程度、排便不尽感、便秘的总体评价评分均低于对照组(P<0.05);观察组患者预后生活质量评分低于对照组(P<0.05);观察组满意度93.54%(87/93)高于对照组69.89%(65/93)(P<0.05)。结论针对肿瘤患者阿片类药物相关性便秘症状实施循证护理干预,能够有效减轻患者便秘症状,提高患者对护理工作的满意度,值得在临床推广应用。

Objective To study the application of evidence-based nursing intervention in improving opioid-related constipation in cancer patients. Methods A total of 186 patients with cancer were randomly divided into control group and observation group,with 93 cases per group. The control group was treated with routine nursing,while the observation group was treated with evidencebased nursing on the basis of routine nursing,and the improvement of opioid-related constipation,life quality and satisfaction of prognosis were compared before and after intervention. Results The difficulty degree of defecation,endless feeling of defecation,and defecation evaluation scores in the observation group were lower,the prognostic quality of life of the observation group was lower than that of the control group( P < 0. 05); The satisfaction of the observation group was 93. 54%( 87/93),which was higher than 69. 89%( 65/93) in the control group( P < 0. 05). Conclusion The evidence-based care intervention for opioid-related constipation in cancer patients can effectively reduce constipation and improve patients' satisfaction,so it is worthy of promotion in clinic.