集束化疼痛管理对多发性骨髓瘤患者疼痛和心理状态的影响

Effects of cluster pain management on pain and psychological status in patients with multiple myeloma

目的探讨集束化疼痛管理对多发性骨髓瘤患者疼痛和心理状态的影响。方法按照随机数字表法将106例多发性骨髓瘤患者分为观察组和对照组,每组53例。对照组给予常规疼痛管理干预,观察组在此基础上给予集束化疼痛管理干预。比较干预前后两组患者的视觉模拟评分量表(VAS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分及满意度。结果干预后,两组患者的VAS评分均低于本组干预前(P﹤0.05);观察组患者的VAS评分明显低于对照组患者(P﹤0.01)。干预后,两组患者的SAS和SDS评分均低于本组干预前(P﹤0.05);干预后,观察组患者的SAS和SDS评分均明显低于对照组患者(P﹤0.01)。干预后,观察组患者的满意度明显优于对照组患者(P﹤0.01)。结论对多发性骨髓瘤患者实行集束化疼痛管理,可有效缓解患者的疼痛程度、焦虑和抑郁情绪,提高护理满意度。

Objective To investigate the effect of cluster pain management on pain and psychological status in patients with multiple myeloma.Method One hundred and six cases of multiple myeloma were included in the study and divided into study group and control group according to a random number table.The control group received routine nursing care for pain management,while the study group was administered with cluster pain management in addition to routine nursing care.The scores of visual analogue scale(VAS),self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were assessed and compared before and after the intervention,and the degree of satisfaction of these patients was evaluated.Result After intervention,the VAS scores were lower than before intervention(P<0.05),and patients in study group had lower VAS scores versus those in control group(P<0.01).After intervention,the SAS and SDS scores of the two groups were lower than before intervention(P<0.05),and the SAS and SDS scores were significantly lower in study group compared to control group(P<0.01).The degree of satisfaction of patients in study group was rated significantly higher than that in the control group(P<0.01).Conclusion Cluster pain management in patients with multiple myeloma can effectively alleviate the pain degree of patients,reduce anxiety and depression,and improve the degree of satisfaction toward nursing care.