家属参与中重度癌痛患者健康教育

Families Involvement in Health Education of Patients with Moderate and Severe Cancer Pains

目的探讨家属参与健康教育对中重度癌痛患者生活质量的影响。方法将100例癌痛患者随机分为观察组和对照组,每组各50例。对照组按照常规宣教,观察组在常规宣教基础上,将家属纳入健康教育范畴。采用自行设计的调查问卷、疼痛评分表、生活质量评定量表比较两组患者的护理治疗效果及生活质量。结果观察组实施干预后患者的疼痛缓解程度及生活质量各项目评分均高于干预前,且明显高于同期对照组(P<0.01)。观察组实施干预后患者的不良反应低于干预前,且明显低于同期对照组(P<0.01)。结论家属参与健康教育模式有利于提高家属规范化照顾技能,增强癌痛患者社会支持力度,提高癌痛患者治疗的依从性,从而改善癌痛患者的生活质量。

Objective To investigate the effects of families involvement on patients＇ life quality with cancer pain. Methods 100 patients with cancer pain were randomly divided into observation group and control group with 50 cases each. Patients in control group received routine health education, and families of those in observation group were involved in health education too. We compared two groups by self- designed questionnaire, pain score table, and Quality of Life Rating Scale （QOLS）. Results Pain relief and average QOLS scores of the observation group after the intervention were higher than before and significantly higher than the control group （P 〈0.01 ）. Ad- verse effect rates of the observation group after the intervention were lower than before and significantly lower than the control group （ P 〈 0.01 ）. Conclusion Families involvement into health education can improve the care of patients with cancer pain and their life qualities.