全程疼痛护理干预对直肠癌癌痛患者负性情绪和服药依从性及爆发性疼痛的影响

Effect of whole-course nursing intervention for pain on negative emotion,medication compliance and breakthrough pain in patients with rectal cancer pain

目的探讨全程疼痛护理干预对直肠癌癌痛患者负性情绪、服药依从性及爆发性疼痛的影响。方法选取2015年1月至2016年12月间重庆市北碚区中医院收治的98例直肠癌癌痛患者,按照不同护理方式将患者分为观察组与对照组,每组49例。对照组患者采用常规护理干预及健康指导,观察组患者采用全程疼痛护理干预,比较两组患者的负性情绪、服药依从性及爆发性疼痛情况。结果干预前,两组患者的焦虑和抑郁评分比较,差异无统计学意义(P>0.05);干预后,两组患者的焦虑和抑郁评分均改善,且观察组患者改善程度明显高于对照组,差异均有统计学意义(均P<0.05)。干预前,两组患者服药依从性及爆发性疼痛率比较,差异无统计学意义(P>0.05);干预后,两组患者的服药依从性明显上升,爆发性疼痛率明显下降,且观察组患者服药依从性明显高于对照组(98.0%vs 61.2%),爆发性疼痛明显低于对照组(8.2%vs 51.0%),差异均有统计学意义(均P<0.05)。结论直肠癌癌痛患者采用全程疼痛护理干预,能明显改善患者负性情绪,降低爆发性疼痛发生率,缓解疼痛情况,提高服药依从性与生活质量,值得临床推广。

Objective To investigate the effect of whole-course pain nursing intervention on negative emotion,medication compliance and breakthrough pain in patients with rectal cancer pain. Methods Ninety-eighty patients with rectal cancer pain treated at Chongqing Beibei Hospital of Traditional Chinese Medicine from January 2015 to December 2016 were selected. The patients were divided into an observation group and a control group according to different nursing methods with 49 patients in each group. The observation group was given whole-course nursing intervention for pain and the control group was given routine nursing intervention and health guidance. The negative emotion,medication compliance and breakthrough pain were compared between the two groups. Results Before the intervention,no significant difference was noted in the SDS and SAS scores between the two groups（ P〈0. 05）. After the intervention,the SDS and SAS scores improved in both groups with the observation group better than the control group（ all P〈0. 05）.Before intervention,no significant difference was found in the medication compliance and breakthrough pain between the two groups showed（ P〈0. 05）. After the intervention,the medication compliance significantly improved and breakthrough pain decreased significantly in both groups and the medication compliance was significantly higher in the observation group than in the control group（ 98. 0% vs 61. 2%） and the incidence of breakthrough pain was significantly lower in the observation group than in the control group（ 8. 2%vs 51. 0%）（ all P〈0. 05）. Conclusion Whole-course nursing intervention for pain patients can significantly alleviate the negative emotion,reduce the incidence of breakthrough pain,relieve pain and improve the medication compliance and quality of life in patients with rectal cancer pain,which is worthy of promotion in clinical use.