规范化护理干预在癌性疼痛患者中的应用效果

Application effect of standardized nursing intervention on patients with cancer pain

目的探讨规范化护理干预在癌性疼痛患者中的应用效果。方法回顾性分析2016年6月至2018年6月在我院就诊的120例肿瘤疼痛患者的临床资料,按照护理方式的不同将患者分为研究组和对照组,各60例。对照组给予常规护理,观察组在此基础上给予规范化癌痛护理干预,比较两组患者护理前、后VAS、简明疼痛、SDS、SAS、SF-36评分及患者不良反应发生情况。结果护理后,两组VAS评分及简明疼痛评分均显著降低,且研究组低于对照组,差异具有统计学意义(P<0.05);研究组患者生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能及心理卫生评分均显著高于对照组,差异具有统计学意义(P<0.05)。两组患者SAS和SDS评分均降低,且研究组低于对照组,差异具有统计学意义(P<0.05)。研究组呕吐、便秘、恶心、呼吸抑制、过度镇静等并发症发生率均低于对照组,差异具有统计学意义(P<0.05)。结论规范化护理干预可有效缓解癌症患者疼痛,提高患者生活质量,改善患者情绪,值得推广。

Objective To explore the application effect of standardized nursing intervention on patients with cancer pain.Methods The clinical data of 120 patients with cancer pain treated in our hospital from June 2016 to June 2018 were retrospectively analyzed. The patients were divided into research group and control group according to different nursing methods. The control group was given routine nursing, while the research group was given standardized nursing intervention on the basis of routine nursing. The scores of VAS, concise pain, SDS and SAS before and after nursing, SF-36 scores and the incidence of adverse reactions between the two groups were compared. Results After nursing, the scores of VAS and concise pain of the two groups significantly decreased, and those in the research group were lower than the control group,the differences were statistically significant(P<0.05). The scores of role physical, physiological function, body pain, overall health, vitality, social function, emotional function and mental health of the research group were significantly higher than those in the control group, the differences were statistically significant(P<0.05). The scores of SAS and SDS in the two groups decreased, and those in the research group were lower than the control group, and the differences were statistically significant(P<0.05). The incidences of vomiting, constipation, nausea, respiratory depression, excessive sedation and other complications in the research group were lower than those in the control group, the differences were statistically significant(P<0.05). Conclusion Standardized nursing intervention can effectively alleviate the pain of cancer patients, improve their quality of life and emotions, which is worth promoting.