疼痛护理在恶性肿瘤骨转移伴抑郁患者中的应用效果

Application effect of pain nursing care on patients with malignant tumor bone metastasis and depression

目的观察分析疼痛护理在恶性肿瘤骨转移伴抑郁患者中的应用效果。方法随机选取2014年1月~2016年1月于我院就诊的恶性肿瘤骨转移放疗患者112例,采用数字随机法分为观察组(n=56)与对照组(n=56),对照组患者给予常规护理干预,观察组患者在常规护理基础上增加疼痛护理干预,对比两组患者护理前后的焦虑抑郁情况、生活质量及疼痛程度。结果干预前,两组患者的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分对比差异不显著,无统计学意义(P>0.05);干预后,两组患者的SAS、SDS评分显著低于干预前(P<0.05),且观察组患者的SAS、SDS评分均显著低于对照组(P<0.05);干预前,两组患者的生活质量对比差异不显著(P>0.05);干预后,两组患者的生活质量均显著高于干预前(P<0.05),且观察组患者的生活质量显著高于对照组(P<0.05);干预后观察组患者的疼痛情况显著轻于对照组(P<0.05)。结论在常规护理的基础上,给恶性肿瘤骨转移伴抑郁的患者增加疼痛护理干预,能够更显著降低患者的焦虑、忧郁情绪,提高患者的生活质量,并有效缓解患者的疼痛程度,护理效果良好,值得在临床上推广使用。

Objective To observe and analyze the effect of pain nursing care on patients with malignant tumor bone metastasis and depressionn. Methods From January 2014 to January 2016, 112 cases of patients with malig- nant tumor bone metastasis and depression who were treated in our hospital were selected as the study subjects. All the patients were divided into the observation group （ n=56 ）, offered pain care intervention on the basis of conventional nursing and the control group （n=56）, given conventional care. The scores which reflected patients＇ anxiety, depres- sion, quality of life and the level of pain were compared between the two groups. Results Before intervention, there was no significant difference of SAS, SDS scores between the two groups （P〉0.05） . Whereas after intervention, the SAS and SDS scores of both groups were significantly lower than those before nursing care （P 〈 0.05 ）; the SAS and SDS scores of the observation group were significantly lower than those of the control group （P 〈 0.05 ） . Both the two groups had a significantly higher quality of life score after intervention than those before nursing care （P 〈 0.05 ） and the scores of the observation group were significantly higher than those of the control group （P 〈 0.05 ） . With regards to the level of pain after nursing intervention, the observation group were significantly lower than that of the control group （P 〈 0.05 ） . Conclusion On the basis of conventional nursing care, pain nursing care intervention can he more effective to relieve the emotions of anxiety and depression and reduce pain of patients with malignant tumor bone metastasis and depression,, thus is worthy to be applied in clinical situations.