临终关怀护理在原发性晚期肺癌患者疼痛管理中的应用效果

Application of hospice care in the management of pain in patients with advanced primary lung cancer

目的探讨临终关怀护理模式对改善晚期原发性肺癌患者疼痛和生活质量的作用。方法选取2015年1月至2017年6月间安康市中心医院收治的90例原发性晚期肺癌患者,采用随机数表法分为试验组和对照组,每组45例。试验组患者采用临终关怀护理模式,对照组患者采用常规护理模式,比较两组患者的疼痛情况、心理状况及生活质量。结果试验组患者护理后1个月、2个月和3个月视觉模拟评分量表(VAS)评分均低于对照组患者,差异均有统计学意义(均P<0.05)。护理前,两组患者焦虑自评量表(SAS)和抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05)。护理后,两组患者SAS和SDS评分都明显降低,且试验组评分均低于对照组,差异均有统计学意义(均P<0.05)。护理前,两组患者生活质量综合评定问卷(GQOLI-74)评分比较,差异无统计学意义(P>0.05)。护理后,两组患者GQOLI-74评分均明显提高,且试验组评分明显高于对照组,差异均有统计学意义(均P<0.05)。结论在原发性晚期肺癌患者疼痛管理中采用临终关怀护理模式,能够显著减轻患者疼痛,缓解患者负性情绪,提高患者生活质量。

Objective To explore the effect of hospice care on pain and quality of life in patients with advanced primary lung cancer. Methods Ninety patients with advanced primary cancer treated at Ankang Central Hospital from January 2015 to June 2017 were selected. Patients were randomly divided into an observation group and a control group with 45 patients in each group. The observation group was given hospice care and the control group was given routine nursing. Pain,psychological and quality of life were compared between the two groups. Results The VAS scores were lower in the experimental group than the control group at 1 month,2 months and 3 months after nursing（ all P〈0. 05）. There was no significant difference in SAS and SDS scores between the two groups before nursing（ P〈0. 05）. After nursing,SAS and SDS scores significantly decreased in both groups with the observation group significantly lower than the control group（ all P〈0. 05）. Before nursing,was no significant difference in GQOLI-74 scores between the two groups and after nursing,GQOLI-74 scores significantly improved in the observation group with the observation group significantly higher than the control group（ all P〈0. 05）. Conclusion Hospice care for the management of pain can significantly control the pain,relieve the negative emotion and improve the quality of life in patients with advanced primary lung cancer.